What is Kenneth Phenow's NPI number?

Kenneth Phenow's National Provider Identifier (NPI) is 1174144653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kenneth Phenow's specialty?

Kenneth Phenow is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Kenneth Phenow located?

Kenneth Phenow's practice location on file with NPPES is 9800 Rodden Rd, Oakdale, CA 95361-9593.

What is Kenneth Phenow's phone number?

The practice phone number listed in the NPPES registry for Kenneth Phenow is (336) 202-6826.

Is Kenneth Phenow's NPI active?

Yes — Kenneth Phenow's NPI (1174144653) is active in the NPPES registry as of the last update on 2020-05-06.

IndividualActive

Kenneth Phenow, MD, MPH

NPI 1174144653 · Family Medicine Physician · Oakdale, CA

Kenneth Phenow, MD, MPH is a Family Medicine Physician provider in Oakdale, CA (NPI 1174144653).

Provider details

NPI number: 1174144653
Entity type: Individual
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: MD, MPH
Sex: Male
Sole proprietor: Yes
License: G145614 (CA)

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000XLicense G145614 (CA)
Allopathic & Osteopathic Physicians

Profile Score

Established profile(64/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

9800 Rodden Rd

Oakdale, CA 95361-9593

Phone: (336) 202-6826

Street-level locationGet directions

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Mailing address