Individual
MR. MICHAEL PATRICK KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMT, MT-BC
Contact information
Practice address
9022 SAN BENITO WAY, DALLAS, TX 75218-4253
(214) 912-5700
Mailing address
9022 SAN BENITO WAY, DALLAS, TX 75218-4253
(214) 912-5700
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
04979
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04979
CERTIFICATION BOARD
—
Enumeration date
06/20/2012
Last updated
06/20/2012
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