Active NPI
Christopher E Kennel, M.D.
- Otolaryngology Physician
- Dover, DE
National Provider Identifier
1922480698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- C1-0024427
- Practice address
- 826 S Governors Ave
Dover, DE 19904-4107 - Phone
- (302) 674-3752
- Fax
- (302) 674-8521
- NPI assigned
- Jun 18, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | DR.0067207 | CO | |
| Otolaryngology Physician | 207Y00000X | C1-0024427 | DE | Primary |
Addresses
Primary practice location
826 S Governors Ave
Dover, DE 19904-4107
Mailing address
640 S. State Street
Mail Code 3055
Dover, DE 19901
Phone (302) 480-1688
Other practice location 1
101 Wellness Way Ste 300
Milford, DE 19963-4366
Phone (302) 393-5009
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 |
|---|---|---|---|
| DR.0067207 | CO | MD | Otolaryngology Physician |
| C1-0024427 | DE | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1922480698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S. STATE STREET",
"address_2": "MAIL CODE 3055",
"city": "DOVER",
"state": "DE",
"postal_code": "19901",
"telephone_number": "302-480-1688",
"fax_number": "302-480-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 S GOVERNORS AVE",
"city": "DOVER",
"state": "DE",
"postal_code": "199044107",
"telephone_number": "302-674-3752",
"fax_number": "302-674-8521"
}
],
"practiceLocations": [
{
"address_1": "101 Wellness Way Ste 300",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "DE",
"postal_code": "199634366",
"country_code": "US",
"telephone_number": "302-393-5009",
"fax_number": "302-424-9162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEL",
"first_name": "CHRISTOPHER",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-18",
"last_updated": "2024-04-30",
"certification_date": "2022-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CO",
"license": "DR.0067207",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "DE",
"license": "C1-0024427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.