Provider Demographics
NPI:1174518112
Name:KENNARD, WILLIAM FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:FRANCIS
Last Name:KENNARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1173 BEACON AVE
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2420
Mailing Address - Country:US
Mailing Address - Phone:609-597-1556
Mailing Address - Fax:609-597-0911
Practice Address - Street 1:1173 BEACON AVE
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2420
Practice Address - Country:US
Practice Address - Phone:609-597-1556
Practice Address - Fax:609-597-0911
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35029207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery