Kenny, Laura Cancilla

Kenny, Laura Cancilla is an individual health care provider with primary practice located at 1515 Cavalry Dr. Ste 102, Florence KY 41042. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kenny, Laura Cancilla can be contacted via phone (859) 817-9772.

Contact Information

Primary practice address
1515 Cavalry Dr. Ste 102 Florence KY 41042
Phone: (859) 817-9772
Fax: (859) 817-9885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 43946 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-086281 Ohio
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 35.086281 Ohio

Profile Details

NPI number 1881650885
LBN Legal business name Kenny, Laura Cancilla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 8th, 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 1881650885 NPPES
Ohio Other P00224928 RAIL ROAD MEDICARE
Ohio MEDICAID 200523050 RAIL ROAD MEDICARE
Ohio MEDICAID 2594581 RAIL ROAD MEDICARE
Ohio MEDICAID 6410106600 RAIL ROAD MEDICARE

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