MEDICARE: DR. HENRY FRANCIS KENKEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	35.045859	OH
2	2084P0800X	Psychiatry Physician	25679	KY
3	2084P0015X	Psychosomatic Medicine Physician	35-045859	OH
4	2084P0015X	Psychosomatic Medicine Physician	25679	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841386612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY FRANCIS KENKEL MD

Provider Business Mailing Address
First Line	:	7631 CHEVIOT RD
Second Line	:	SUITE 2B
City	:	CINCINNATI
State	:	OH
Zip	:	45247-4012
Country	:	US
Telephone Number	:	513-931-3500
Fax Number	:	513-521-6701

Provider Business Practice Location Address
First Line	:	7631 CHEVIOT RD
Second Line	:	SUITE 2B
City	:	CINCINNATI
State	:	OH
Zip	:	45247-4012
Country	:	US
Telephone Number	:	513-931-3500
Fax Number	:	513-521-6701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	08/15/2011

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