DR. WILLIAM GILLIAM KENNON III (NPI# 1487635868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487635868 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM GILLIAM KENNON III |
| Credential | M.D. |
| Practice Address |
1 Jarrett White Rd Tripler Army Medical Center Tripler Amc HI 96859-5001 |
| Practice Telephone | 8084332460 |
| Practice Fax Number | 8084331558 |
| Mailing Telephone | 8084332460 |
| Mailing Fax Number | 8084331558 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD9525 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699040600 | William Lee Kennon | Pharmacist | 2655 Shasta Way, Klamath Falls, OR 97603-4455 | 2012-03-09 |
| Street Address |
1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER |
| City | TRIPLER AMC |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515352 | Erin M Kang | Military Health Care Provider | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2020-10-09 |
| 1477199149 | Thomas Petersen | Physical Therapist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-11-18 |
| 1285277962 | Emily Floyd Simpson | Nurse Practitioner | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-10-24 |
| 1659931731 | Melissa Nycole Work | Audiologist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-06-19 |
| 1366000887 | Andrea Moon | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-05-30 |
| 1316500242 | Kaitlin Dresser | Dietitian, Registered | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-04-16 |
| 1366925414 | Quoc Tuan Minh Luong | Licensed Vocational Nurse | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-09-13 |
| 1487131249 | Alexander Junho Song | Dentist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-07-25 |
| 1922591304 | Hannah Russin | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-06-11 |
| 1184116592 | Adam Kisling | Internal Medicine | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356310221 | Ernesto Montecillo Padilla | Urology | 1 Jarrett White Rd, Tripler Army Medical Center Attn:mchk-qs, Tripler Amc, HI 96859-5001 | 2006-03-14 |
| 1376519017 | Richard S. Stack | Urology | 1 Jarrett White Rd, Tripler Army Medical Center, Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659772762 | Big Island Urology & Andrology | Urology | 75-184 Hualalai Rd Ste 200, Kailua Kona, HI 96740-1719 | 2014-09-08 |
| 1043630726 | Andrew Jordan Sun | Urology | 1329 Lusitana St Ste 406, Honolulu, HI 96813-2412 | 2014-04-22 |
| 1750721171 | Thomas Yutaka Ito | Urology | 1850 Laukahi St, Honolulu, HI 96821-1361 | 2013-06-29 |
| 1790022804 | Hawaii Urological Institute | Urology | 91-2139 Fort Weaver Rd Ste 205, Ewa Beach, HI 96706-3608 | 2013-01-09 |
| 1235481185 | Island Urology Oahu LLC | Urology | 1329 Lusitana St Ste 602, Honolulu, HI 96813-2431 | 2012-10-02 |
| 1619276623 | James H Stewart | Urology | 155 Ohana St, Kailua, HI 96734-2351 | 2011-03-17 |
| 1053614388 | Eugene T Tanabe Md Inc | Urology | 98-1079 Moanalua Rd Ste 460, Aiea, HI 96701-4723 | 2010-12-08 |
| 1790085595 | Herbert Kw Chinn M D Inc | Urology | 1329 Lusitana St Ste 108, Honolulu, HI 96813-2401 | 2010-10-26 |
| 1912216599 | David A Kuchenbecker Md, Inc | Urology | 30 Aulike St Ste 602, Kailua, HI 96734-2752 | 2010-09-30 |
| 1659686020 | J. Glenn Haines, M.d., Inc. | Urology | 1830 Wells St Ste 101, Wailuku, HI 96793-2365 | 2010-08-10 |
| Find all providers with the same taxonomy | ||||
| City | TRIPLER AMC |
| Zip Code | 96859 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.