Kenney, Colleen Marie

Kenney, Colleen Marie is an sole proprietor health care provider with primary practice located at 2485 High School Ave Ste 222, Concord CA 94520. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Kenney, Colleen Marie can be contacted via phone (925) 685-3117.

Contact Information

Primary practice address
2485 High School Ave Ste 222 Concord CA 94520
Phone: (925) 685-3117
Fax: (925) 685-3322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3382 California
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3382 California

Profile Details

NPI number 1184629479
LBN Legal business name Kenney, Colleen Marie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Apr 8th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184629479 NPPES
California MEDICAID 000E33820

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