Individual
JOHN STEPHEN KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1412 NE 88TH ST, VANCOUVER, WA 98665-9620
(360) 574-4074
(360) 574-9237
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009608
WA
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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