Individual
JEFFREY BRUCE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 860-2362
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0055122
CO
207W00000X
Ophthalmology Physician
MD60650217
WA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
MD60650217
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2012
Last updated
04/30/2026
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