Kenny, James Nicholas

Kenny, James Nicholas is an individual health care provider with primary practice located at 200 E Pennsylvania Ave Suite 201, Peoria IL 61603-3089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kenny, James Nicholas can be contacted via phone (309) 655-7700.

Contact Information

Primary practice address
200 E Pennsylvania Ave Suite 201 Peoria IL 61603-3089
Phone: (309) 655-7700
Fax: (309) 624-8790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036072378 Illinois

Profile Details

NPI number 1427032515
LBN Legal business name Kenny, James Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jan 19th, 2021 - about 3 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 1427032515 NPPES
Illinois MEDICAID 036072378

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