Provider Demographics
NPI:1245550144
Name:KENNY, EMILY I (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:I
Last Name:KENNY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:71 US ROUTE 1 STE A
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7168
Mailing Address - Country:US
Mailing Address - Phone:207-885-8400
Mailing Address - Fax:207-885-8499
Practice Address - Street 1:71 US ROUTE 1 STE A
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7168
Practice Address - Country:US
Practice Address - Phone:207-885-8400
Practice Address - Fax:207-885-8499
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2021-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301105931207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology