Healthcare Provider Details

I. General information

NPI: 1861448672
Provider Name (Legal Business Name): RICHARD J KENNEY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 04/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 LANDINGS DR SUITE 205
WASHINGTON PA
15301-9408
US

IV. Provider business mailing address

80 LANDINGS DR SUITE 205
WASHINGTON PA
15301-9408
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-3020
  • Fax: 724-941-7788
Mailing address:
  • Phone: 724-941-3020
  • Fax: 724-941-7788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberOS009283L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: