Individual
MR. MARK F KENNY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
66 MAIN ST, DOBBS FERRY, NY 10522-2159
(914) 479-0743
(914) 479-1568
Mailing address
66 MAIN ST, DOBBS FERRY, NY 10522-2159
(914) 479-0743
(914) 479-1568
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
02200
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02215167
—
NY
Enumeration date
06/13/2005
Last updated
07/08/2007
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