David R. Kennel, Md | |
5920 100th St Sw 31 Lakewood WA 98499-2751 | |
(253) 584-3023 | |
(253) 582-1222 |
Full Name | David R. Kennel, Md |
---|---|
Speciality | Family Medicine |
Location | 5920 100th St Sw, Lakewood, Washington |
Authorized Official Name and Position | Wendy Ann Mcinroy (OFFICE MANAGER) |
Authorized Official Contact | 2535843023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David R. Kennel, Md 5920 100th St Sw 31 Lakewood WA 98499-2751 Ph: (253) 584-3023 | David R. Kennel, Md 5920 100th St Sw 31 Lakewood WA 98499-2751 Ph: (253) 584-3023 |
NPI Number | 1851574628 |
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Provider Enumeration Date | 12/14/2007 |
Last Update Date | 12/14/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851574628 | NPI | - | NPPES |
7125982 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00019823 (Washington) | Primary |
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