Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 19291 | NE |
NPI | 1235217118 |
---|---|
Provider Name | Mr. Sean Patrick Kenney |
First Address | Lincoln, NE 68506-1276 |
Second Address | Lincoln, NE 68506-1276 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 02/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10025266200 | (05) | NE |
10025718000 | (05) | NE |
10026464400 | (05) | NE |
G36309 | (02) | NE |