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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508817800 NPPES
Florida MEDICAID 268975800

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