Individual
DR. JOHN DAVID KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD DDS
Contact information
Practice address
7345 LINDERSON WAY SW, TUMWATER, WA 98501-6504
(360) 725-8713
(360) 586-9060
Mailing address
PO BOX 41123, MS 41123, OLYMPIA, WA 98504-1123
(360) 725-8713
(360) 586-9060
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD0022210
WA
Other
Enumeration date
03/21/2007
Last updated
01/14/2013
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