Individual
MR. SEAN PATRICK KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, ACNPC-AG
Contact information
Practice address
535 ROXBURY RD, ROCKFORD, IL 61107-5076
(815) 397-7212
Mailing address
11607 GAYLE CT, HUNTLEY, IL 60142-7304
(847) 343-2817
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209.028516
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209028516
IL
Other
Enumeration date
10/23/2023
Last updated
10/27/2023
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