Doctor Name: | ANGELA S KENNEY |
NPI Number: | 1225090897 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 3215 |
Business Practice Address: | 8501 N Scottsdale Rd Ste. 150 Scottsdale, AZ - 852532750 |
Business Phone Number: | 4809467939 |
Business Fax Number: | 4809465258 |
Mailing Address: | 7085 W Andrew Ln, PEORIA |
State: | AZ |
Postal Code: | 853833039 |
Phone Number: | 6234559063 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 08/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 3215 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |