Active NPI
Minh Kenney
- Diagnostic Radiology Physician
- Fort Campbell, KY
National Provider Identifier
1679564751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD0000041630
- Practice address
- 650 Joel Drive
Department of Radiology
Fort Campbell, KY 42223 - Phone
- (270) 798-8388
- NPI assigned
- Oct 29, 2005
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD0000041630 | TN | Primary |
Addresses
Primary practice location
650 Joel Drive
Department of Radiology
Fort Campbell, KY 42223
Mailing address
650 Joel Drive
Department of Radiology
Fort Campbell, KY 42223
Phone (270) 798-8388
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000041630 | TN | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1679564751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 JOEL DRIVE",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "270-798-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 JOEL DRIVE",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "270-798-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "MINH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-29",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "MD0000041630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.