Provider Demographics
NPI:1841386612
Name:KENKEL, HENRY FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:FRANCIS
Last Name:KENKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7631 CHEVIOT RD
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-4012
Mailing Address - Country:US
Mailing Address - Phone:513-931-3500
Mailing Address - Fax:513-521-6701
Practice Address - Street 1:7631 CHEVIOT RD
Practice Address - Street 2:SUITE 2B
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-4012
Practice Address - Country:US
Practice Address - Phone:513-931-3500
Practice Address - Fax:513-521-6701
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0458592084P0800X
KY256792084P0800X, 2084P0015X
OH35-0458592084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0517640Medicaid
OH0517640Medicaid
OHKEO 490232Medicare ID - Type Unspecified