MEDICARE: DR. RICHARD J KENNEY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	OS009283L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	108119	OTHER	PA	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861448672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD J KENNEY D.O.

Provider Business Mailing Address
First Line	:	80 LANDINGS DR
Second Line	:	SUITE 205
City	:	WASHINGTON
State	:	PA
Zip	:	15301-9408
Country	:	US
Telephone Number	:	724-941-3020
Fax Number	:	724-941-7788

Provider Business Practice Location Address
First Line	:	80 LANDINGS DR
Second Line	:	SUITE 205
City	:	WASHINGTON
State	:	PA
Zip	:	15301-9408
Country	:	US
Telephone Number	:	724-941-3020
Fax Number	:	724-941-7788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	04/17/2025

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