Rene' D. Kenney, RN, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

824 Issued in AK

Practice address

1611 Tanaga Ave
Kenai, AK 99611-7910

Phone

(907) 395-0526

NPI assigned

Nov 21, 2005

Last updated

Feb 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant, Registered Nurse

State licenses

Practice roles

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

• Native Village of Eyak

  dba Ilanka Community Health Center

  • Clinic/Center
  • Cordova, AK
  • NPI 1134471287
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1124001516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 TANAGA AVE",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117910",
            "telephone_number": "907-395-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 TANAGA AVE",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117910",
            "telephone_number": "907-395-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "RENE'",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "RN, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Rosalie Kendrick
• Katie Kendrick
• Patricia Rose Kendrick, FNP-C
• Kenkamken Care Coordination
• Kenneth S Hahn (Redoubt Medical Clinic)
• Kelsi Rose Kiel
• Christina Ann Kilby, MSN, MPH, NP-C, APRN
• Hannah Mae Kilfoyle
• Kim Thiele, DO, PC
• Heidi Wynne King

• Physician Assistant in Kenai, AK
• Providers in Kenai, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.