Provider Demographics
NPI:1669771044
Name:KENNEY ENTERPRISES LLC
Entity type:Organization
Organization Name:KENNEY ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSALEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-744-5151
Mailing Address - Street 1:6 LYNDE ST # UL
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3404
Mailing Address - Country:US
Mailing Address - Phone:978-744-5151
Mailing Address - Fax:978-744-5885
Practice Address - Street 1:19 FRONT ST
Practice Address - Street 2:SUITE 301
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3792
Practice Address - Country:US
Practice Address - Phone:978-744-5151
Practice Address - Fax:978-744-5885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6057251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health