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General NPI Number Information
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NPI Number | 1891877288
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Entity Type | Individual
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Provider Name | JOHN J KENNY D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 1301 ROUTE 72 W SUITE 240
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-2417
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Country | US
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Telephone | 609-597-7394
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Fax | 609-597-6833
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS RD STE 220
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City | RED BANK
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State | NJ
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Zip | 07701-5792
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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 |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MB42249
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License Number State | NJ
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