Provider Demographics
NPI:1336037217
Name:KENNY, GUY PAUL (APRN)
Entity type:Individual
Prefix:MR
First Name:GUY
Middle Name:PAUL
Last Name:KENNY
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 BERTHA ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-5327
Mailing Address - Country:US
Mailing Address - Phone:518-429-6087
Mailing Address - Fax:
Practice Address - Street 1:1616 BERTHA ST UNIT 2
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-5327
Practice Address - Country:US
Practice Address - Phone:518-429-6087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11040459363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care