Provider Demographics
NPI:1528528320
Name:NEIL A KENNEY OD
Entity type:Organization
Organization Name:NEIL A KENNEY OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:KENNEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-536-3450
Mailing Address - Street 1:313 WILLOWBROOK RD
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1314
Mailing Address - Country:US
Mailing Address - Phone:215-880-9543
Mailing Address - Fax:215-536-0102
Practice Address - Street 1:628 JUNIPER ST
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1587
Practice Address - Country:US
Practice Address - Phone:215-536-3450
Practice Address - Fax:215-536-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOEG003006OtherOPTOMETRY LICENSE