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Individual

RAYMOND PATRICK KENNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
396 BROADWAY, KINGSTON, NY 12401-4626
(845) 338-1535
(845) 338-0301
Mailing address
396 BROADWAY, KINGSTON, NY 12401-4626
(845) 338-1535
(845) 338-0301

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
324172
NY
207RG0100X
Gastroenterology Physician
MA47899
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18B851
WELL CHOICE
NJ
01
222971684
HORIZON BC/BS NJ
NJ
Enumeration date
07/21/2005
Last updated
03/03/2025
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