NPI 1114043288

John David Kenney, MDDDS

Practitioner General Practice Physician Tumwater, WA

Practice location

Address: 7345 Linderson Way SW, Tumwater, WA 98501-6504
Phone: (360) 725-8713
Fax: (360) 586-9060
Mailing address: PO Box 41123 Ms 41123, Olympia, WA 98504-1123

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence MD0022210 (WA)

Other General Practice providers in Washington →

Registry record

NPI: 1114043288
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2007
Record last updated: 14 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.