Individual
DR. RICHARD G KENNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2901 OHIO BLVD, SUITE 202, TERRE HAUTE, IN 47803-2239
(812) 232-2144
(812) 234-4598
Mailing address
2901 OHIO BLVD, SUITE 202, TERRE HAUTE, IN 47803-2239
(812) 232-2144
(812) 234-4598
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041262A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200192280
—
IN
Enumeration date
07/19/2005
Last updated
06/26/2014
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