Healthcare Provider Details

I. General information

NPI: 1649270018
Provider Name (Legal Business Name): WILLIAM FRANCIS KENNY M.D., FAPA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 S STATE ST
LOWVILLE NY
13367-1533
US

IV. Provider business mailing address

35 KENSINGTON AVENUE
KINGSTON ONTARIO
K7L4B4
CA

V. Phone/Fax

Practice location:
  • Phone: 315-376-5450
  • Fax: 315-376-7221
Mailing address:
  • Phone: 613-544-8068
  • Fax: 613-544-8623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number087795-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: