Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Marie Kennel, DO

Individual provider Family Medicine Physician · NPI 1912261447

Courtney Marie Kennel, DO is a Family Practice in Lakewood, Washington. Qualified in 2012, 14 years ago. Practices with Select Outpatient Services Inc, a 790-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
14
Licensed in
WA
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5920 100th St SW Ste 31
Lakewood, WA 98499-2751
Phone: (253) 584-3023
Fax: (253) 582-1222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OP60413256 (WA)

Record details

NPI number1912261447
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 29, 2012
Last updated in NPPESAugust 18, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Select Outpatient Services Inc — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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