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General NPI Number Information
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NPI Number | 1538142690
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Entity Type | Individual
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Provider Name | PATRICK JOSEPH KENNEY D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 2385 E PRATER WAY STE 205
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City | SPARKS
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State | NV
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Zip | 89434-9688
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Country | US
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Telephone | 775-356-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 2385 E PRATER WAY STE 205
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City | SPARKS
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State | NV
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Zip | 89434-9688
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Country | US
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Telephone | 775-356-4888
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 20A8741
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 63249
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 10247
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License Number State | SD
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | CL0727
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License Number State | NV
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