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Deactivated NPI 1124397393 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Marshall Kenney , MD

Internal Medicine • Springfield, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Kenney has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 17, 2011
NPI Deactivation Date February 03, 2022
Total Practice Duration ~11 Years of Practice (2011 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Kenney, MD was a registered Internal Medicine practicing in Springfield, IL. Throughout an active medical career spanning 11 years, Dr. Kenney provided care at the practice location at 2624 HAZELNUT DR until profile deactivation on 2022-02-03.

Practice Location & Contact Primary Location

Practice Address

2624 Hazelnut Dr

Springfield, IL 627023367

Telephone 2175462272

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.1 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
206 Specialists

Practicing in Springfield, IL (7544 Statewide)

Telehealth Adoption Rate
4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036036052

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 03, 2022

Record deactivated on February 03, 2022

NPI Profile Active December 17, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 17, 2011

Registered at 2624 HAZELNUT DR, SPRINGFIELD, IL 627023367 (Tel: 2175462272)

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Updated Business Mailing Address December 17, 2011

Registered at 2624 HAZELNUT DR, SPRINGFIELD, IL 627023367 (Tel: 2175462272)

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Provider Name / Credentials Updated December 17, 2011

Recorded as CHARLES KENNEY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2011

Internal Medicine (License #036036052 in IL)

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Initial NPI Registration & Enumeration December 17, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124397393
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2011
Last Update: December 17, 2011
Deactivation Date: February 03, 2022

Mailing Address

2624 Hazelnut Dr

Springfield, IL 627023367

Phone: 2175462272

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.