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Individual

DAVID A KENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
530 SOUTH ST, GREENSBURG, PA 15601-2775
(724) 830-8527
(724) 850-3145
Mailing address
520 JEFFERSON AVE, STE 400, JEANNETTE, PA 15644-2538
(724) 527-8060
(724) 522-4002

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD018202E
PA
2086S0129X
Vascular Surgery Physician
MD018202E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012238240005
PA
01
P00164558
RAILROAD MEDICARE
PA
Enumeration date
08/19/2005
Last updated
01/19/2017
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