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General NPI Number Information
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NPI Number | 1619789500
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Entity Type | Individual
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Provider Name | KEVIN MICHAEL KENNEY MSN, APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 8 LIMBO LN
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City | AMHERST
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State | NH
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Zip | 03031-1870
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Country | US
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Telephone | 603-673-5885
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3677
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City | NASHUA
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State | NH
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Zip | 03061-3677
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Country | US
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Telephone | 603-577-7900
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Fax | 603-577-7972
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 061430-23
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License Number State | NH
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