Mr. Michael Lee Kenney
Prosthetist
120 Hill St
Hot Springs
, Arkansas 71901-6238
Mr. Michael Lee Kenney
Prosthetist
120 Hill St
Hot Springs
, Arkansas 71901-6238
(844) 272-8975
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Mr. Michael Lee Kenney
- Po Box 1966
- Hot Springs, AR
- Zip : 71902-1966
- Fax : (844) 272-8975
- Phone : (501) 620-4800
Second Address
- Mr. Michael Lee Kenney
- 120 Hill St
- Hot Springs, AR
- Zip : 71901-6238
- Fax : (844) 272-8975
- Phone : (501) 620-4800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | OPP00267 | AR |
National Provider Identifier
| NPI | 1235668575 |
|---|---|
| Provider Name | Mr. Michael Lee Kenney |
| First Address | Hot Springs, AR 71902-1966 |
| Second Address | Hot Springs, AR 71901-6238 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2017 |
| Last Update Date | 16/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1710363486 | (05) | MO |
| 213521716 | (05) | AR |
| CP2198 | AMERICAN BOARD FOR CERTIFICATION (NATIONWIDE) (01) | AR |
| OPP00267 | ARKANSAS DEPT OF HEALTH LICENSE (01) | AR |
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.