Individual
MR. EDWARD MARTIN KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
97 GRANGER ST, CANANDAIGUA, NY 14424-1110
(585) 396-2643
Mailing address
97 GRANGER ST, CANANDAIGUA, NY 14424-1110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003088
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01397153
—
NY
Enumeration date
06/13/2006
Last updated
05/21/2020
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