| Doctor Name: | DR. JAMES ANDREW KENNY |
| NPI Number: | 1134149214 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 20010007 |
| Business Practice Address: | 219 W Harrison St Suite 4 Rensselaer, IN - 479782839 |
| Business Phone Number: | 2198667869 |
| Business Fax Number: | 2198660688 |
| Mailing Address: | 219 W Harrison St, Suite 4 RENSSELAER |
| State: | IN |
| Postal Code: | 479782839 |
| Phone Number: | 2198667869 |
| Fax Number: | 2198660688 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 20010007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |