# KENNETH M JAFFE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558451443
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD00015224 | WA | — |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | MD00014958 | WA | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 02/02/2009