DAVID R. KENNEL, MD
NPI 1851574628
Family Medicine in Lakewood, WA

Active since December 14, 2007CLIA 50D0636558 · Microscopy
5920 100TH ST SW, 31, LAKEWOOD, WA 98499(253) 584-3023(253) 582-1222 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David R. Kennel, Md NPPES

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

DAVID R. KENNEL, MD (NPI 1851574628) is a healthcare organization registered as a family medicine in Lakewood, Washington and active in the NPI registry since December 2007. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Wendy Ann Mcinroy, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1851574628
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAVID R. KENNEL, MD
Location Address5920 100TH ST SW, 31Lakewood, WA 98499-2751
Mailing Address5920 100th St Sw, 31Lakewood, WA 98499-2751 · (253) 584-3023 · Fax (253) 582-1222
Fax(253) 582-1222
Organization SubpartNo
Authorized OfficialWendy Ann McinroyOffice Manager · (253) 584-3023
Enumeration DateDecember 14, 2007
NPI 1851574628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD00019823
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.
5920 100TH ST SW, Lakewood, WA 98499

Other Identifiers 3

Medicare UPINA08475WA
Medicaid7125982WA
Medicare PING8850853WA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0636558

David R Kennel MD · Tacoma, WA
Active · expires Apr 4, 2028
CLIA Number50D0636558
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2002
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDavid R. Kennel
Laboratory Phone(253) 584-3023
Laboratory LocationDavid R Kennel MD5920 100th St Ste 31, Tacoma, WA 98499
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5920 100TH ST SW, SUITE #26
LAKEWOOD, WA 98499
Family Medicine
5920 100TH ST SW, 31
LAKEWOOD, WA 98499
Family Medicine
5920 100TH ST SW, SUITE 26
LAKEWOOD, WA 98499
Psychologist (Clinical)
5920 100TH ST SW, # 33
LAKEWOOD, WA 98499
Specialist
5920 100TH ST SW
LAKEWOOD, WA 98499
Family Medicine
5920 100TH ST SW, SUITE 26
LAKEWOOD, WA 98499
Specialist
5920 100TH ST SW, SUITE 6
LAKEWOOD, WA 98499
Dentist (General Practice)
5920 100TH ST SW, STE 9
LAKEWOOD, WA 98499

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 David R. Kennel, MD's NPI number?

The NPI number for David R. Kennel, MD is 1851574628. It was assigned to this organization in the NPPES registry on December 14, 2007.

Where is David R. Kennel, MD located?

David R. Kennel, MD is located at 5920 100th St SW 31, Lakewood, WA 98499. The listed phone number is (253) 584-3023.

What is David R. Kennel, MD's specialty?

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

Does David R. Kennel, MD hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0636558) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for David R. Kennel, MD was last updated on December 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.