Individual
DR. KEVIN MICHAEL KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
275 BROADHOLLOW RD STE 120, MELVILLE, NY 11747-4863
(845) 279-5908
Mailing address
667 STONELEIGH AVE STE 202, CARMEL, NY 10512-2455
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
015632-1
NY
103TC0700X
Clinical Psychologist
Primary
015632
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015632
NYS LICENSE
NY
Enumeration date
11/10/2006
Last updated
07/16/2026
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