Individual
DR. JAMES A. KENNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9928
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9928
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F57233
MS
2085R0204X
Vascular & Interventional Radiology Physician
15132
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118270
—
MS
01
—
009712630
ALABAMA MEDICAID
AL
01
—
300071940
RAILROAD MEDICARE
—
01
—
73099313
BLUE CROSS OF AL
AL
Enumeration date
08/19/2005
Last updated
09/15/2008
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