MR. R. KEVIN KENNELLY, P.A.
Family Medicine
Active
Individual
NPI: 1780651604
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 247-023 (WI) |
Frequently Asked Questions
NPI 1780651604 is the National Provider Identifier for MR. R. KEVIN KENNELLY, P.A., a Family Medicine provider located in West Allis, WI. This NPI was enumerated on March 1, 2006.
MR. R. KEVIN KENNELLY, P.A. practices at 555 S 108TH ST, West Allis, WI 53214.
Quick Facts
- NPI
- 1780651604
- Type
- Individual
- Enumerated
- Mar 1, 2006
- Last Updated
- Jul 8, 2007
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