Individual
EDWARD J KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
21367 S PARK DR, FAIRVIEW PARK, OH 44126-2342
(440) 821-9331
Mailing address
21367 S PARK DR, FAIRVIEW PARK, OH 44126-2342
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.15771-NA
OH
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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