Provider Demographics
NPI:1699812024
Name:KENNEY, ROBERT EMMET (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EMMET
Last Name:KENNEY
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 SE SALERNO RD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-6405
Mailing Address - Country:US
Mailing Address - Phone:772-223-7864
Mailing Address - Fax:772-781-2963
Practice Address - Street 1:900 SE SALERNO RD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-6405
Practice Address - Country:US
Practice Address - Phone:772-223-7864
Practice Address - Fax:772-781-2963
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0070244207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine