Individual
DR. NICHOLAS IUNG KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S 11TH AVE, YAKIMA, WA 98902-3242
(509) 454-8888
(509) 453-0061
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
64238
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD61373829
WA
Other
Enumeration date
02/06/2014
Last updated
04/29/2025
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