Julie Renee Kenner, M.D., PH.D

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G86681 Issued in CA

Practice address

502 Pierce St
Monterey, CA 93940-2621

Phone

(808) 263-3233

NPI assigned

Aug 13, 2006

Last updated

May 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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.

• Skinhappy MD Ca PC

  dba SkinHappy

  • Dermatology Physician
  • Monterey, CA
  • NPI 1023857984
  NPD Authorized official
• Hawaiian Islands Dermatology, LLC

  • Dermatology Physician
  • Kailua, HI
  • NPI 1891310355
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1366454423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 PIERCE ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402621",
            "telephone_number": "831-747-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 PIERCE ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402621",
            "telephone_number": "808-263-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNER",
        "first_name": "JULIE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "10836",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G86681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "G86681",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366454423",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "207N00000X",
            "identifier": "207N00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard J Kelly, MD
• Stefanie Kelsey
• Ken Hashimoto M.D. Inc.
• Caitlin R Kenagy, PT, DPT
• Edward John Kennedy, MD
• Richard Edwin Kent, DDS
• Shari Lynn Kent, N.P
• Kentoshi, Inc.
• Larry Kerkhoff
• Jeanette M Kern, DDS

• Dermatology Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.