Organization
DAVID R. KENNEL, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY ANN MCINROY (OFFICE MANAGER)
(253) 584-3023
Entity
Organization
Contact information
Practice address
5920 100TH ST SW, 31, LAKEWOOD, WA 98499-2751
(253) 584-3023
(253) 582-1222
Mailing address
5920 100TH ST SW, 31, LAKEWOOD, WA 98499-2751
(253) 584-3023
(253) 582-1222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7125982
—
WA
Enumeration date
12/14/2007
Last updated
12/14/2007
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