William Michael Kenney, DDS MS

Individual provider Active NPI Anesthesiology Physician · Fallston, MD

NPI 1508915059 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1508915059
Entity type
Individual (NPI type 1)
Primary specialty
Anesthesiology Physician 207L00000X
License
GA 4825 (MD)
Practice address
209 Mountain Rd
Fallston, MD 21047
Phone
(410) 879-2460
Fax
(410) 893-8309
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MD 4825MDMDDentist
GA 4825MDMDAnesthesiology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X MD 4825 MD
Anesthesiology Physician 207L00000X GA 4825 MD Yes

Addresses

Primary practice location

209 Mountain Rd
Fallston, MD 21047

Mailing address

209 Mountain Rd
Fallston, MD 21047
Phone (410) 879-2460

Other providers in Fallston, MD

All providers in Fallston, MD · Anesthesiology Physician in Maryland

Sources for this page

Verify at the official NPI Registry.