Kenney, Edward Martin

Kenney, Edward Martin is an individual health care provider with primary practice located at 97 Granger St , Canandaigua NY 14424-1110. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kenney, Edward Martin can be contacted via phone (585) 396-2643.

Contact Information

Primary practice address
97 Granger St Canandaigua NY 14424-1110
Phone: (585) 396-2643
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003088 New York

Profile Details

NPI number 1942243522
LBN Legal business name Kenney, Edward Martin
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated May 21st, 2020 - about 5 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 1942243522 NPPES
New York MEDICAID 01397153

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