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DR. KENNETH J PHENOW MD, MPH
NPI 1174144653
Family Medicine in Oakdale, CA

Active since May 06, 2020
9800 RODDEN RD, OAKDALE, CA 95361(336) 202-6826 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth J Phenow Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH J PHENOW MD, MPH (NPI 1174144653) is an individual family medicine provider in Oakdale, California, licensed in California (G145614) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1174144653
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH J PHENOWCredential: MD, MPH
Location Address9800 RODDEN RDOakdale, CA 95361-9593
Mailing Address9800 Rodden RdOakdale, CA 95361-9593 · (336) 202-6826
Phone(336) 202-6826
Sole ProprietorYes
Enumeration DateMay 6, 2020
NPPES CertifiedMay 6, 2020
✔ NPI 1174144653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G145614
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9800 RODDEN RD, Oakdale, CA 95361
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Phenow's NPI number?

The NPI number for Kenneth Phenow is 1174144653. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Where is Kenneth Phenow located?

Kenneth Phenow practices at 9800 Rodden Rd, Oakdale, CA 95361. The listed phone number is (336) 202-6826.

What is Kenneth Phenow's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Phenow was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.