Provider Demographics
NPI:1023185816
Name:KEHNEY, RONALD JAY (DDS)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:JAY
Last Name:KEHNEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1123
Mailing Address - Street 2:136 HIGH ST EXT
Mailing Address - City:S LANCASTER
Mailing Address - State:MA
Mailing Address - Zip Code:01561
Mailing Address - Country:US
Mailing Address - Phone:978-365-9497
Mailing Address - Fax:978-365-3542
Practice Address - Street 1:136 HIGH ST EXT
Practice Address - Street 2:
Practice Address - City:S LANCASTER
Practice Address - State:MA
Practice Address - Zip Code:01561
Practice Address - Country:US
Practice Address - Phone:978-365-9497
Practice Address - Fax:978-365-3542
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA135721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice