Healthcare Provider Details

I. General information

NPI: 1972003762
Provider Name (Legal Business Name): VANESSA A KENNY CD(DONA)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VANESSA A KENNY CNM

II. Dates (important events)

Enumeration Date: 02/19/2018
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

949 NEW HOLLAND RD
READING PA
19607-1646
US

IV. Provider business mailing address

949 NEW HOLLAND RD
READING PA
19607-1646
US

V. Phone/Fax

Practice location:
  • Phone: 610-222-6226
  • Fax: 484-334-7463
Mailing address:
  • Phone: 610-222-6226
  • Fax: 484-334-7463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010871
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: