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1851648489 NPI number — DEBORAH ELLEN KENNEY MS OTR/L

NPI Number: 1851648489
Health Care Provider/Practitioner: DEBORAH ELLEN KENNEY MS OTR/L

Information about “1851648489” NPI (DEBORAH ELLEN KENNEY MS OTR/L) exists in 1851648489 in HTML format HTML  |  1851648489 in plain Text format TXT  |  1851648489 in PDF (Portable Document Format) PDF  |  1851648489 in an XML format XML  formats.

NPI Number : 1851648489 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851648489",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KENNEY",
    "FirstName": "DEBORAH",
    "MiddleName": "ELLEN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MS OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1025 PAYETTE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUNNYVALE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94087-5242",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "408-636-3124",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4000 MIDDLEFIELD RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALO ALTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94303-4760",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "408-636-3124",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/14/2012",
    "LastUpdateDate": "08/14/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225XN1300X",
          "TaxonomyName": "Neurorehabilitation Occupational Therapist",
          "LicenseNumber": "7186",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225XH1200X",
          "TaxonomyName": "Hand Occupational Therapist",
          "LicenseNumber": "7186",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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