Robert J Kennerley Phd Pa

LBN: Robert J Kennerley Phd Pa
Robert J Kennerley Phd Pa is an health care organization with primary practice located at 265 N Causeway , New Smyrna Beach FL 32169-5239. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Robert J Kennerley Phd Pa can be contacted via phone (386) 423-9161, or through Kennerley, Robert John via phone (386) 423-9161.

Contact Information

Primary practice address
265 N Causeway New Smyrna Beach FL 32169-5239
Phone: (386) 423-9161
Fax: (386) 423-3094
Website:
Map and Directions
Authorized official contact:
Name: Kennerley, Robert John PHD
Phone: (386) 423-9161

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X PY6507 Florida
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X PY6507 Florida

Profile Details

NPI number 1003053646
LBN Legal business name Robert J Kennerley Phd Pa
DBA Doing business as
Authorized official Kennerley, Robert John PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2009
Last updated Aug 26th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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