| Doctor Name: | COLLEEN BURTIS KENNY |
| NPI Number: | 1063574051 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN31810 |
| Business Practice Address: | 4705 Old Post Rd Charlestown, RI - 028131819 |
| Business Phone Number: | 4013647705 |
| Business Fax Number: | 4017832558 |
| Mailing Address: | 1157 South Rd, WAKEFIELD |
| State: | RI |
| Postal Code: | 028797633 |
| Phone Number: | 4013647705 |
| Fax Number: | 4017832558 |
| NPI Enumeration Date: | 12/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0807X |
| License Number: | RN31810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |