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General NPI Number Information
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NPI Number | 1407108103
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Entity Type | Organization
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Legal Business Name | KENNEY ORTHOPEDICS OF DANVILLE LLC
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Dates
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Enumeration Date | 10/05/2012
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 520 S 3RD ST
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City | DANVILLE
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State | KY
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Zip | 40422-2102
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Country | US
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Telephone | 859-209-4156
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Fax | 859-209-4158
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Provider Business Mailing Address
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Address Line | PO BOX 650846
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City | DALLAS
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State | TX
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Zip | 75265-0846
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REGULATORY COMPLIANCE ANALYST III
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Name | JENNIFER L SIMMONS
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Credential |
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Telephone | 859-594-2709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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