Individual
JACOB KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
620 E 8TH ST, PORT ANGELES, WA 98362-6224
(360) 216-6166
Mailing address
756 HIGH COUNTRY DR, PORT ANGELES, WA 98362-7493
(360) 216-6166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
70017745
WA
Other
Enumeration date
11/22/2023
Last updated
09/15/2025
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