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KENNETH KACENGA DO NPI 1245279827


NPI Information

NPI: 1245279827
Provider Name: KENNETH KACENGA, DO
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
155 COLLE PORTAL
300
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 458-8075
Get Directions

Kenneth Kacenga, DO is an obstetrics gynecology in Sierra Vista, AZ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Kenneth Kacenga, DO NPI is 1245279827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

155 COLLE PORTAL
300
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 458-8075
Fax: (520) 458-0339

The enumeration date for this NPI number is 6/6/2006 and was last updated on 1/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology01607ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z104696MEDICARE PINARIZONA
24114160OTHERAETNA
3Z104695MEDICARE PINARIZONA
4AZ0779520OTHERBCBS AZ
5E09856MEDICARE UPINARIZONA
6104695MEDICARE ID-TYPE UNSPECIFIED
7241997MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.