Individual
RICHARD D KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 946-1405
(505) 820-1209
Mailing address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 946-1405
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
016372
GA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD2008-0573
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000494601
—
GA
Enumeration date
05/08/2006
Last updated
01/30/2009
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