Provider Demographics
NPI:1487308003
Name:DR. TIMOTHY P. KENKEL & ASSOCIATES INC
Entity type:Organization
Organization Name:DR. TIMOTHY P. KENKEL & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:P
Authorized Official - Last Name:KENKEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:513-607-4209
Mailing Address - Street 1:11747 PRINCETON PIKE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-2521
Mailing Address - Country:US
Mailing Address - Phone:513-671-5020
Mailing Address - Fax:513-510-4733
Practice Address - Street 1:11747 PRINCETON PIKE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-2521
Practice Address - Country:US
Practice Address - Phone:513-607-4209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty