Healthcare Provider Details

I. General information

NPI: 1427977354
Provider Name (Legal Business Name): RYLIE KENNEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 OLD FERN HILL RD STE 5
WEST CHESTER PA
19380-4269
US

IV. Provider business mailing address

166 APPLEGATE DR
WEST CHESTER PA
19382-5589
US

V. Phone/Fax

Practice location:
  • Phone: 610-696-2850
  • Fax:
Mailing address:
  • Phone: 610-574-2687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberOA007776
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: