William J. Kenny, CP

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

4201 Highway 11 N Ste D
Picayune, MS 39466-2014

Phone

(228) 216-0528

Fax

(769) 242-2556

NPI assigned

Oct 25, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Prosthetic Care LLC

  • Prosthetic/Orthotic Supplier
  • Gulfport, MS
  • NPI 1063050862

  Orthotist

  NPD Authorized official
• Southern Prosthetic Care LLC

  • Prosthetic/Orthotic Supplier
  • Picayune, MS
  • NPI 1205352127
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750833786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 HIGHWAY 11 N STE D",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662014",
            "telephone_number": "228-216-0528",
            "fax_number": "769-242-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 HIGHWAY 11 N STE D",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662014",
            "telephone_number": "228-216-0528",
            "fax_number": "769-242-2556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Good St",
            "address_purpose": "LOCATION",
            "city": "Bay Saint Louis",
            "state": "MS",
            "postal_code": "395208970",
            "country_code": "US",
            "telephone_number": "228-216-0528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNY",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanif Group LLC
• Bonnie Elizabeth Keaton, OD
• Milton Michael Keen, PHARM.D.
• Christie Kellar, FNP-C
• Jordan Kayelin Kellar, IBCLC
• Stacy Jane Keyes, M.S.,SLP
• Kimberly Sauls LLC
• Danyelle Kimble
• Aurora B. King
• Jennifer Lynne Kittler, RN, FNP

• Prosthetist in Picayune, MS
• Providers in Picayune, MS by specialty
• Prosthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.