Dr. Kenneth Owen Fennell , MD PHD
Pediatrics • Gresham, OR
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. Kenneth Fennell has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kenneth Fennell, MD PHD was a registered Pediatrics practicing in Gresham, OR. Throughout an active medical career spanning 18 years, Dr. Fennell provided care at the practice location at 24850 SE STARK until profile deactivation on 2024-11-21.
Practice Location & Contact Primary Location
24850 Se Stark
Ste 150
Gresham, OR 97030
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Gresham, OR
Practicing in Gresham, OR (880 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Naturopathic Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 21, 2024
NPI status registered as active in NPPES database
Registered at 24850 SE STARK, STE 150, GRESHAM, OR 97030 (Tel: 5034910714)
Registered at 24850 SE STARK, STE 150, GRESHAM, OR 97030 (Tel: 5034910714)
Recorded as KENNETH FENNELL, MD PHD
Pediatrics (License #MD16170 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
24850 Se Stark, Ste 150
Gresham, OR 97030
Phone: 5034910714
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