Provider Demographics
NPI:1265814479
Name:KENNEY, RYAN S (HEARING AID SPECIALI)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:S
Last Name:KENNEY
Suffix:
Gender:M
Credentials:HEARING AID SPECIALI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 A WANAQUE AVE
Mailing Address - Street 2:BELTONE HEARING AID
Mailing Address - City:POMPTON LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07442
Mailing Address - Country:US
Mailing Address - Phone:973-835-1003
Mailing Address - Fax:973-835-4480
Practice Address - Street 1:124 A WANAQUE AVE
Practice Address - Street 2:BELTONE HEARING AID
Practice Address - City:POMPTON LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07442
Practice Address - Country:US
Practice Address - Phone:973-835-1003
Practice Address - Fax:973-835-4480
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00119600237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist