Kevin Hennessy
Nurse Practitioner - Adult Health
701 Seneca St Ste 646c
Buffalo
, New York 14210-1351
Kevin Hennessy
Nurse Practitioner - Adult Health
701 Seneca St Ste 646c
Buffalo
, New York 14210-1351
(716) 871-0580
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Kevin Hennessy
- 206 Lovering Ave
- Buffalo, NY
- Zip : 14216-1846
- Phone : (716) 871-0580
Second Address
- Kevin Hennessy
- 701 Seneca St Ste 646c
- Buffalo, NY
- Zip : 14210-1351
- Phone : (716) 995-4450
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | F304561-1 | NY |
National Provider Identifier
| NPI | 1023163813 |
|---|---|
| Provider Name | Kevin Hennessy |
| First Address | Buffalo, NY 14216-1846 |
| Second Address | Buffalo, NY 14210-1351 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2007 |
| Last Update Date | 25/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.