Individual
DR. JEFFREY N. KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12420 WARWICK BLVD, 2-A, NEWPORT NEWS, VA 23606-3001
(757) 595-1457
Mailing address
12420 WARWICK BLVD STE 2A, NEWPORT NEWS, VA 23606-3046
(757) 595-1457
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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