MEDICARE: EDWARD KENNEY L.P.N

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	372600000X	Adult Companion		FL

General Provider Information

NPI Number	:	1871869784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD KENNEY L.P.N

Provider Business Mailing Address
First Line	:	8876 LEE REEVES RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-4063
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8876 LEE REEVES RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-4063
Country	:	US
Telephone Number	:	850-313-7613
Fax Number	:

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

Provider Enumeration Date	:	03/25/2012
Last Update Date	:	02/02/2026

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Directions to “ EDWARD KENNEY L.P.N” Practice Location

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