Individual
KAITLIN M. KENALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4745 OGLETOWN STANTON ROAD, MAP 1, SUITE 217, NEWARK, DE 19713-2074
(302) 733-4387
(302) 733-4252
Mailing address
200 HYGEIA DRIVE, CCHS PHYSICIAN CONTRACTING, SUITE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C1-0012087
DE
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
C1.0012087
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2011
Last updated
06/26/2017
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