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Contact Information

THE DR. KENNY CLINIC, P.C.
256 HAMILTON ST
SOUTHBRIDGE, MA01550
 Phone: 508-764-6166
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THE DR KENNY CLINIC PC · (Female)

NPI # 1396919478
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2008
Last updated 04/18/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 35946
  • MA Medicaid 9725229
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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