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Individual

JOHN J KENNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1301 ROUTE 72 W, SUITE 240, MANAHAWKIN, NJ 08050-2417
(609) 597-7394
(609) 597-6833
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB42249
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2137704
NJ
01
223016655
TAX ID
NJ
Enumeration date
10/19/2006
Last updated
11/15/2024
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