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General NPI Number Information
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NPI Number | 1346243094
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Entity Type | Individual
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Provider Name | ROBERT J KENNEY MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2005
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 5131 ODONOVAN DR FL 1
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City | BATON ROUGE
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State | LA
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Zip | 70808-4782
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Country | US
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Telephone | 225-767-4893
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Fax | 225-408-1959
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Provider Business Mailing Address
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Address Line | 5131 ODONOVAN DR FL 1
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City | BATON ROUGE
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State | LA
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Zip | 70808-4782
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Country | US
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Telephone | 225-767-4893
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Fax | 225-408-1959
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 015800
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License Number State | LA
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