ETHAN RAYMOND KENNEY

CHARLOTTE, NC
NPI1346870821
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-09714)
Enumeration Date2020-01-23
Last Update Date2024-02-12
Business Address
Mr. ETHAN RAYMOND KENNEY Physician Assistant
15830 BALLANTYNE MEDICAL PL STE 275
CHARLOTTE, NC 28277-4791
Phone number: 980-302-8659
Mailing Address
Mr. ETHAN RAYMOND KENNEY Physician Assistant
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 980-302-8659
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