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

Dr. Kenneth Hentschel, DO, PHD

Individual provider Electrodiagnostic Medicine Physician · NPI 1164405460

Dr. Kenneth Hentschel, DO, PHD is a Neurology in Jacksonville, Florida. Graduated from Michigan State University College of Osteopathic Medicine in 2000, 26 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
26
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
FL, GA
In the registry since
2005
Specialties on file
4
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.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

4205 Belfort Rd Ste 1100
Jacksonville, FL 32216-5876
Phone: (904) 450-6300
Fax: (904) 281-5866
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence OS8644 (FL)
Electrodiagnostic Medicine Physician Taxonomy 204R00000X · Licence OS8644 (FL)
Neurology Physician Taxonomy 2084N0400X · Licence 057817 (GA)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence OS8644 (FL)

Record details

NPI number1164405460
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , PHD
Sole proprietorNo
NPI enumeratedNovember 22, 2005
Last updated in NPPESJuly 29, 2019

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2000 (26 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount