Fennell, Kenneth Owen
Fennell, Kenneth Owen is an individual health care provider with primary practice located at 24850 Se Stark Ste 150, Gresham OR 97030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fennell, Kenneth Owen can be contacted via phone (503) 491-0714.Contact Information
Primary practice address
24850 Se Stark Ste 150
Gresham OR 97030
Phone: (503) 491-0714
Fax: (503) 674-2834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD16170 | Oregon |
Profile Details
| NPI number | 1942246046 |
|---|---|
| LBN Legal business name | Fennell, Kenneth Owen |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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