Individual
DR. CHRISTOPHER FRANCIS FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
910 KENTON STATION DR, MAYSVILLE, KY 41056-9613
(606) 759-0490
(606) 759-0499
Mailing address
PO BOX 3450, REGIONAL BEHAVIORAL HEALTH CENTER, RAPID CITY, SD 57709-3450
(605) 719-7200
(605) 719-7680
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
03372
KY
2084P0800X
Psychiatry Physician
34-007773
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03372
MEDICAL LICENSE
KY
05
—
7100210560
—
KY
01
—
K041011
MEDICARE
KY
Enumeration date
12/01/2005
Last updated
10/13/2022
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