WILLIAM J. KENNY (NPI# 1750833786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750833786 |
| Entity Type | Individual |
| Full Name | WILLIAM J. KENNY |
| Credential | CP |
| Practice Address |
4201 Highway 11 N Ste D Picayune MS 39466-2014 |
| Practice Telephone | (228) 216-0528 |
| Practice Fax Number | 7692422556 |
| Mailing Telephone | (228) 216-0528 |
| Mailing Fax Number | 7692422556 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 92 Good St, Bay Saint Louis, MS 395208970 | 2282160528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508929142 | William Edward Kenny Jr. | Dentist | 304 Whitehorse Avenue, Trenton, NJ 08610-1412 | 2006-12-18 |
| 1649270018 | William Francis Kenny | Psychiatry & Neurology | 7550 S State St, Lowville, NY 13367-1533 | 2005-07-28 |
| 1396756672 | William Michael Kenny | Specialist | 1900 E Main St, 1900 E. Main Street, Danville, IL 61832-5100 | 2006-08-11 |
| 1780633818 | William Ross Kenny | Internal Medicine | 275 Collier Rd Nw, Suite 300, Atlanta, GA 30309-1709 | 2006-05-08 |
| Street Address |
4201 HIGHWAY 11 N STE D |
| City | PICAYUNE |
| State | MS |
| Zip Code | 39466-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205352127 | Southern Prosthetic Care LLC | Prosthetic/Orthotic Supplier | 4201 Highway 11 N Ste D, Picayune, MS 39466 | 2017-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295270684 | Ashley Royerre Talley | Speech-Language Pathologist | 621 W Canal St, Picayune, MS 39466 | 2016-12-21 |
| 1306396213 | Kathy English | Counselor | 102 Roy St, Picayune, MS 39466 | 2016-10-04 |
| 1124379631 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 23350 Highway 43, Picayune, MS 39466 | 2012-09-24 |
| 1578876280 | Joy A. Weidemann | Social Worker | 120 Street A Ste C, Picayune, MS 39466 | 2010-07-22 |
| 1407188477 | Picayune School District | Local Education Agency (LEA) | 706 Goodyear Blvd., Picayune, MS 39466 | 2010-02-02 |
| 1164751079 | Picayune School District Early Head Start | Early Intervention Provider Agency | 1620 Rosa St, Picayune, MS 39466 | 2009-12-24 |
| 1124352505 | Stephanie Deanne Farrell | Speech-Language Pathologist | 201 E. Second Street, Picayune, MS 39466 | 2009-10-01 |
| 1902084007 | Ludwick L Lohnes Dc LLC | Chiropractor | 214 Norwood Street, Picayune, MS 39466 | 2008-01-31 |
| 1932395878 | Prohealth Solutions, Inc | Occupational Therapist | 722 West Canal Street, Picayune, MS 39466 | 2007-09-24 |
| 1669677431 | Terri L Bordelon | Social Worker | 214 N Curran, Suite A, Picayune, MS 39466 | 2007-06-20 |
| Find all providers in zip 39466 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247783 | Jay Michael Rubenstein | Prosthetist | 3004 Bienville Blvd Ste 1, Ocean Springs, MS 39564-4370 | 2020-08-25 |
| 1750906301 | Denisha Louise Williams | Prosthetist | 828 Pass Rd Ste C, Gulfport, MS 39501-6437 | 2020-06-10 |
| 1538795364 | Faithful Limbs Prosthetics | Prosthetist | 114 Herring Dr, Raymond, MS 39154-9646 | 2020-03-12 |
| 1801428438 | Kimberly Toler | Prosthetist | 8225 Barberry Pl, Southaven, MS 38671-4203 | 2020-02-11 |
| 1194287953 | Brianna Marshall | Prosthetist | 100 Shelby Street, Beulah, MS 38726 | 2019-04-02 |
| 1386106375 | Nicole Clark | Prosthetist | 100 N Burke Ave, Long Beach, MS 39560-4605 | 2019-04-01 |
| 1023576972 | Synterika Shanta Welch | Prosthetist | 7164 Hacks Cross Rd, Olive Branch, MS 38654-4472 | 2019-03-11 |
| 1295203602 | Joanetta Marie Williams | Prosthetist | 806 S 28th Ave, Hattiesburg, MS 39402-2601 | 2018-11-05 |
| 1174888457 | Philip Anthony Bickert | Prosthetist | 2106s Tate St, Corinth, MS 38834-7913 | 2012-07-12 |
| 1194909069 | Richard C Boleware | Prosthetist | 2 Old River Pl Ste D, Jackson, MS 39202-3435 | 2007-12-27 |
| Find all providers with the same taxonomy | ||||
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| 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.