Individual
DAVID N KENAGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6440
(570) 271-6002
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-5453
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
35056456
OH
2080P0210X
Pediatric Nephrology Physician
C1-0012363
DE
2080P0210X
Pediatric Nephrology Physician
Primary
MD451235
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229450
UNISON
OH
01
—
000000546695
ANTHEM
OH
05
—
0709273
—
OH
01
—
1021092000001
PA MEDICAID
PA
01
—
4112125
AETNA
OH
01
—
422455
WELLCARE
OH
01
—
737885
BUCKEYE
OH
Enumeration date
01/25/2007
Last updated
09/24/2019
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