Thomas Kenkel, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

15828 Issued in OK

Practice address

1145 S Utica Ave
Suite 364
Tulsa, OK 74104-4000

Phone

(918) 712-5000

Fax

(918) 592-0286

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: thomas.kenkel@direct.stjohnhealthsystem.com

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1558437624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE",
            "address_2": "SUITE 364",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044000",
            "telephone_number": "918-712-5000",
            "fax_number": "918-592-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE",
            "address_2": "SUITE 364",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044000",
            "telephone_number": "918-712-5000",
            "fax_number": "918-592-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENKEL",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "15828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100044590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina G Kendrick, M.D.
• David Carlan Kendrick, MD MPH
• Heather Rae Kendrick
• Joel Kendrick
• Caleb Kendrix, CRNA
• Adam Jospeh Kennedy, LPC
• Allie Kennedy
• April E Kennedy, CNP
• Brandie Renee Kennedy
• Grace Ruth Kennedy, DO

• Nephrology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Nephrology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.