Provider Demographics
NPI:1649270018
Name:KENNY, WILLIAM FRANCIS (MD, FAPA)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANCIS
Last Name:KENNY
Suffix:
Gender:M
Credentials:MD, FAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 KENSINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:K7L4B4
Mailing Address - Country:CA
Mailing Address - Phone:613-544-8068
Mailing Address - Fax:613-544-8623
Practice Address - Street 1:7550 S STATE ST
Practice Address - Street 2:
Practice Address - City:LOWVILLE
Practice Address - State:NY
Practice Address - Zip Code:13367-1533
Practice Address - Country:US
Practice Address - Phone:315-376-5450
Practice Address - Fax:315-376-7221
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY087795-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00657649Medicaid
NYDO2890Medicare UPIN