Provider Demographics
NPI:1912868720
Name:KENNEY, LONNIE
Entity type:Individual
Prefix:
First Name:LONNIE
Middle Name:
Last Name:KENNEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 E JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NE
Mailing Address - Zip Code:68812-4004
Mailing Address - Country:US
Mailing Address - Phone:308-293-1139
Mailing Address - Fax:
Practice Address - Street 1:206 E JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NE
Practice Address - Zip Code:68812-4004
Practice Address - Country:US
Practice Address - Phone:308-293-1139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities