National Provider Identifier Database

THE DR KENNY CLINIC PC
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

THE DR. KENNY CLINIC, P.C.
256 HAMILTON ST
SOUTHBRIDGE, MA01550
Phone: 508-764-6166
Fax:
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for THE DR. KENNY CLINIC, P.C.

NPI Number 1396919478
Legal business name
LBN
THE DR. KENNY CLINIC, P.C.
Authorized official KENNY HASIJA - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/18/2008
Last updated 04/18/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 35946
  • MA Medicaid: 9725229

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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