National Provider Identifier
Edward Martin Kenney, RPA-C
Edward Martin Kenney, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Canandaigua, NY and a listed phone number of (585) 396-2643.
Profile Overview
- NPI
- 1942243522
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 13, 2006
- Last Updated
- May 21, 2020
Practice Location
- 97 Granger St
- Canandaigua, NY 14424-1110
Phone: (585) 396-2643
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1942243522
- Entity Type
- Individual
- Last Name
- Kenney
- First Name
- Edward
- Middle Name
- Martin
- Name Prefix
- Mr.
- Credential
- RPA-C
- Mailing Street Address
- 97 Granger St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1110
- Mailing Country
- US
- Practice Street Address
- 97 Granger St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1110
- Practice Country
- US
- Practice Phone
- (585) 396-2643
- Enumeration Date
- June 13, 2006
- Last Updated
- May 21, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 21, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 01397153 (NY)