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General NPI Number Information
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NPI Number | 1750449732
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Entity Type | Individual
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Provider Name | JOHN MICHAEL KENNY M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 14200 W CELEBRATE LIFE WAY
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City | GOODYEAR
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State | AZ
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Zip | 85338-3007
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Country | US
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Telephone | 623-207-3415
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Fax |
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Provider Business Mailing Address
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Address Line | 1768 BUSINESS CENTER DR STE 100
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City | RESTON
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State | VA
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Zip | 20190-5359
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Country | US
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Telephone | 800-762-9244
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Fax | 786-672-6006
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 52896
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | Q6338
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | M-15356
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 51181
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 69834
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License Number State | CT
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MED-PHYS-LIC-91589
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License Number State | MT
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