COLLEEN BURTIS KENNY RN - NPI 1063574051 - Registered Nurse in Charlestown, RI

Q: What is Colleen Kenny's NPI number?

The NPI number for Colleen Kenny is 1063574051. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Q: What is Colleen Kenny's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 163WP0807X.

Q: When was this NPI record last updated?

The NPPES record for Colleen Kenny was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Colleen Burtis Kenny Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN BURTIS KENNY RN (NPI 1063574051) is an individual psychiatric/mental health, child & adolescent provider in Charlestown, Rhode Island, licensed in Rhode Island (RN31810) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1063574051

Entity TypeIndividualFemale

Primary Taxonomy163WP0807X

Provider Legal NameCOLLEEN BURTIS KENNYCredential: RN

Location Address4705 OLD POST RDCharlestown, RI 02813-1819

Mailing Address1157 South RdWakefield, RI 02879-7633 · (401) 364-7705 · Fax (401) 783-2558

Phone(401) 364-7705

Fax(401) 783-2558

Sole ProprietorNo

Enumeration DateDecember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063574051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers

Taxonomy Code163WP0807X

License✔ Licensed in RI · RN31810

4705 OLD POST RD, Charlestown, RI 02813

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Other Identifiers 1

MedicaidCB07805RI

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH HAUSER LCSW

Social Worker (Clinical)