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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, P.C.

NPI # 1396919478
LBN Legal business name THE DR. KENNY CLINIC, P.C.
Authorized official KENNY HASIJA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2008
Last updated 04/18/2008 - About 18 years ago
Identifiers
MA License # 35946
MA Medicaid 9725229
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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