Individual
THOMAS C KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH AVE STE 320, YAKIMA, WA 98902-3273
(509) 454-8888
(509) 453-0061
Mailing address
PO BOX 2309, YAKIMA, WA 98907-2309
(509) 454-8888
(509) 453-0061
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD00028021
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1046130
—
WA
Enumeration date
02/24/2006
Last updated
01/26/2023
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