National Provider Identifier
Kevin Hennessy, NURSE PRACTITIONER
Kevin Hennessy, NURSE PRACTITIONER is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 995-4450.
Profile Overview
- NPI
- 1023163813
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- January 24, 2007
- Last Updated
- October 25, 2019
Practice Location
- 701 Seneca St Ste 646C
- Buffalo, NY 14210-1351
Phone: (716) 995-4450
Mailing Address
- 206 Lovering Ave
- Buffalo, NY 14216-1846
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1023163813
- Entity Type
- Individual
- Last Name
- Hennessy
- First Name
- Kevin
- Credential
- NURSE PRACTITIONER
- Mailing Street Address
- 206 Lovering Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216-1846
- Mailing Country
- US
- Mailing Phone
- (716) 871-0580
- Practice Street Address
- 701 Seneca St Ste 646C
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-1351
- Practice Country
- US
- Practice Phone
- (716) 995-4450
- Enumeration Date
- January 24, 2007
- Last Updated
- October 25, 2019
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)