Provider Demographics
NPI:1952672990
Name:KENNEY, AMIE CHRISTINE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:AMIE
Middle Name:CHRISTINE
Last Name:KENNEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 LOGANS RUN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-4303
Mailing Address - Country:US
Mailing Address - Phone:585-720-9699
Mailing Address - Fax:
Practice Address - Street 1:98 LOGANS RUN
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4303
Practice Address - Country:US
Practice Address - Phone:585-720-9699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275439-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse