Individual
DAVID ROBERT KENNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5920 100TH ST. SW, #31, LAKEWOOD, WA 98499-0000
(253) 584-3023
(253) 582-1222
Mailing address
5920 100TH ST. SW, #31, LAKEWOOD, WA 98499-0000
(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
—
1106046
—
WA
Enumeration date
06/15/2006
Last updated
07/09/2007
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