Active NPI
Kent Kenne
- Physical Therapist
- Kansas City, KS
National Provider Identifier
1396855078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1333 Meadowlark LN
Ste 104
Kansas City, KS 66102-1260 - Phone
- (913) 287-9303
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1333 Meadowlark LN
Ste 104
Kansas City, KS 66102-1260
Mailing address
23508 W 73Rd Ter
Shawnee, KS 66227-5509
Phone (850) 235-2758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14-00843 | Other | KS | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396855078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23508 W 73RD TER",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662275509",
"telephone_number": "850-235-2758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 MEADOWLARK LN",
"address_2": "STE 104",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661021260",
"telephone_number": "913-287-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNE",
"first_name": "KENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "14-00843",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.