Active NPI
Denise M. Kenna, M.D.
- Plastic Surgery Physician
- York, PA
National Provider Identifier
1346765229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD418157
- Legal business name
- DENISE M. KENNA, M.D.
- Practice address
- 2350 Freedom Way Ste 107
York, PA 17402-8200 - Phone
- (717) 741-9914
- NPI assigned
- Aug 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan M Hall
- Title
- Office Manager
- Phone
- (717) 741-9914
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD418157 | PA | Primary |
Addresses
Primary practice location
2350 Freedom Way Ste 107
York, PA 17402-8200
Mailing address
2350 Freedom Way Ste 107
York, PA 17402-8200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018663050004 | Medicaid | PA | |
| 02269801 | Other | PA | CAPITAL BLUE CROSS |
| 1931717 | Other | PA | HIGHMARK BLUE SHIELD |
Other names 1
- Plastic Surgery of York
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502409600000",
"number": "1346765229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 FREEDOM WAY STE 107",
"city": "YORK",
"state": "PA",
"postal_code": "174028200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 FREEDOM WAY STE 107",
"city": "YORK",
"state": "PA",
"postal_code": "174028200",
"telephone_number": "717-741-9914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENISE M. KENNA, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-11",
"last_updated": "2017-08-11",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "717-741-9914"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "PA",
"license": "MD418157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018663050004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02269801",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1931717",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Plastic Surgery of York",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.