Mcdonnell, Kennon
Mcdonnell, Kennon is an individual health care provider with primary practice located at 5153 N 9Th Ave , Pensacola FL 32504-8785. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mcdonnell, Kennon can be contacted via phone (850) 416-2477.Contact Information
Primary practice address
5153 N 9Th Ave
Pensacola FL 32504-8785
Phone: (850) 416-2477
Fax: (850) 416-7520
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME88495 | Florida |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME88495 | Florida |
Profile Details
NPI number | 1508817800 |
---|---|
LBN Legal business name | Mcdonnell, Kennon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2006 |
Last updated | Nov 13th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508817800 | NPPES |
Florida | MEDICAID | 268975800 |
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