Individual
DR. CHRISTOPHER FRANCIS FENNELL
Active
Individual
DR. CHRISTOPHER FRANCIS FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Update your record
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