IndividualActive
Kenneth Sapp, D.O.
NPI 1366421422 · Anatomic Pathology & Clinical Pathology Physician · Great Lakes, IL
Provider details
- NPI number
- 1366421422
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 0102037035 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
3001a Sixth Street
Laboratory, Naval Health Clinic Great Lakes
Great Lakes, IL 60088
Phone: (847) 688-6850
Street-level locationGet directions
Mailing address
325 East Blodgett Avenue
Lake Bluff, IL 60044-2112
Registry dates
- Enumerated
- 2006-01-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.