DEAN KENNEY


Address: 1011 W Beech St, Long Beach, NY 11561-1203
Phone: 5164317600

DEAN KENNEY (NPI# 1568506558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568506558
Entity Type Individual
Full Name DEAN KENNEY
Credential P.A.
Practice Address 1011 W Beech St
Long Beach
NY 11561-1203
Mailing Address 3 California Pl S
Island Park
NY 11558-2216
Practice Telephone 5164317600
Mailing Telephone 5164310698
Enumeration Date 2007-02-16
Last Update Date 2014-12-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
005056 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1011 W BEECH ST
City LONG BEACH
State NY
Zip Code 11561-1203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821183823 Beach & Surf Medical, PC Family Medicine 1011 W Beech St, Long Beach, NY 11561-1203 2006-10-04

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1588048797 Carol Bell Behavioral Analyst 121 Harding Avenue, Long Beach, NY 11561 2015-07-17
1811378821 Patricia Harris Case Manager/Care Coordinator 72 Illinios Avenue, Long Beach, NY 11561 2015-06-16
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508261256 Trisha Luu Physician Assistant 3300 E. South Street, Suite 308, Long Beach, CA 90805 2014-10-23
1316284151 Joan Eastlack Physician Assistant 432 Panama Ave, Long Beach, CA 90814-1909 2013-01-14
1205125267 Renae C Bright Physician Assistant 461 E Broadway, Long Beach #4, Long Beach, NY 11561-4437 2011-03-30
1881903680 Monte Carl Burnam Physician Assistant Professional Corporation Physician Assistant 1145 E Amelia Dr, Long Beach, CA 90807-2403 2010-09-28
1912233438 Wesley Charles Adams Physician Assistant 3559 E South St, Long Beach, CA 90805-4519 2009-10-19
1396920864 Mohammad A Shadjari Physician Assistant 1635 E Ocean Blvd, Apt. F3, Long Beach, CA 90802-6001 2008-01-03
1710047220 Rosemary Tilmon-kellum Physician Assistant 1250 Bellflower Blvd., Student Health Center, Long Beach, CA 90840 2006-12-12
1760542930 Paul Scott Margraf Physician Assistant 2880 Atlantic Ave Ste 230, Long Beach, CA 90806-1735 2006-12-11
1669404380 Bonnie Michelle Moreno Harris Physician Assistant 2495 Pine Ave, Long Beach, CA 90806-3029 2006-07-06
1952850364 Kaitlyn Vu Physician Assistant 2690 Pacific Ave Ste 290, Long Beach, CA 90806-2631 2016-09-26
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Competitor

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City LONG BEACH
Zip Code 11561

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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