Kevin Hennenhoefer, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

WV EDU Issued in WV

Practice address

5107 Southpark Drive
Suite 204
Durham, NC 27713

Phone

(919) 706-1806

Fax

(919) 300-5182

NPI assigned

Apr 24, 2016

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 30, 2019 through Apr 30, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1225483571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 SOUTHPARK DRIVE",
            "address_2": "SUITE 204",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-706-1806",
            "fax_number": "919-300-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 SOUTHPARK DRIVE",
            "address_2": "SUITE 204",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-706-1806",
            "fax_number": "919-300-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNENHOEFER",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-24",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WV",
            "license": "WV EDU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Anne Heniser, M.D.
• Elizabeth Henke, MD
• Raquel Henkel, M.A.,LCMHC
• Maddison Olinger Henley, PA-C
• Jenisha L Henneghan, PT
• Benjamin Thomas Hennessee, PA-C
• Thomas Hennessey Jr.
• Therese Hennig
• Caitlin Patricia Henning, PT, DPT
• Lisa Eve Henning, DPT

• Neuromusculoskeletal Medicine & OMM Physician in Durham, NC
• Providers in Durham, NC by specialty
• Neuromusculoskeletal Medicine & OMM Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.