David R. Kennel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00019823 Issued in WA

Legal business name

DAVID R. KENNEL, MD

Practice address

5920 100TH St SW
31
Lakewood, WA 98499-2751

Phone

(253) 584-3023

Fax

(253) 582-1222

NPI assigned

Dec 14, 2007

Organization subpart

No

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

Authorized official

Name

Wendy Ann McInroy

Title

Office Manager

Phone

(253) 584-3023

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1851574628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 100TH ST SW",
            "address_2": "31",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992751",
            "telephone_number": "253-584-3023",
            "fax_number": "253-582-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 100TH ST SW",
            "address_2": "31",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992751",
            "telephone_number": "253-584-3023",
            "fax_number": "253-582-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. KENNEL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "MCINROY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-584-3023"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00019823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7125982",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Mabior Dau, BA
• Mark John Dauer, M.A.
• Aaron Davenny
• David a Cotant DDS PS
• David R Benson MD OD PLLC
• David Thomas Williams
• Katelyn Paige Davidson
• Lacey Anne Davidson
• Marcella Davidson
• Patricia Davidson

• Family Medicine Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.