Individual
DR. JEFFREY N. KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6963
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009510
DORAL DENTAL
VA
01
—
243305
ANTHEM
VA
01
—
556969
UNITED CONCORDIA
VA
05
—
8061114
—
VA
Enumeration date
06/08/2006
Last updated
10/23/2019
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