Dr Kenneth Owen Fennell, MD PHD - Pediatrics in Gresham, OR

Dr Kenneth Owen Fennell, MD PHD is a Pediatrics physician based in Gresham, Oregon. Dr Kenneth Owen Fennell is licensed to practice in Oregon (license number MD16170) and his current practice location is 24850 Se Stark, Ste 150, Gresham, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 491-0714.

NPI number for Dr Kenneth Owen Fennell is 1942246046 and his current mailing address is 24850 Se Stark, Ste 150, Gresham, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942246046.

Contact Information

Dr Kenneth Owen Fennell, MD PHD
24850 Se Stark, Ste 150,
Gresham, OR 97030
(503) 491-0714
(503) 674-2834



Physician's Profile

Full NameDr Kenneth Owen Fennell
GenderMale
SpecialityPediatrics
Location24850 Se Stark, Gresham, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942246046
  • Provider Enumeration Date: 06/20/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Kenneth Owen Fennell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942246046NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD16170 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Owen Fennell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth Owen Fennell, MD PHD
24850 Se Stark, Ste 150,
Gresham, OR 97030

Ph: (503) 491-0714
Dr Kenneth Owen Fennell, MD PHD
24850 Se Stark, Ste 150,
Gresham, OR 97030

Ph: (503) 491-0714

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› Verified 8 days ago


Pediatrics Doctors in Gresham, OR

Nicki Nabavizadeh, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 25050 Se Stark St Ste 300, Gresham, OR 97030
Phone: 503-667-8878    
Dr. Julia W Mason, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24850 Se Stark St, Suite 150, Gresham, OR 97030
Phone: 503-491-0714    Fax: 503-674-2834
Dr. John Anthony Calcagno, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24850 Se Stark St, Ste 150, Gresham, OR 97030
Phone: 503-491-0714    Fax: 503-674-2834
Alexander Herman Lau, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 25050 Se Stark St, Ste 300, Gresham, OR 97030
Phone: 503-667-8878    Fax: 503-667-0310
Stephanie Sari, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24988 Se Stark St Ste 200, Gresham, OR 97030
Phone: 503-667-8878    Fax: 503-667-0310
Mary A Egsieker, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24988 Se Stark St, Ste 200, Gresham, OR 97030
Phone: 503-667-8878    Fax: 503-667-0310
Dr. Frank Anthony Calcagno, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24850 Se Stark St, Ste 150, Gresham, OR 97030
Phone: 503-491-0714    Fax: 503-674-2834

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