Individual provider · Type 1 NPI

Kendell Desmond Jack, D.C

Chiropractor · Sebastopol, CA

NPI number 1063386829 Active

Practice location

7765 Healdsburg Ave
Sebastopol, CA 95472-3309

Call (707) 823-3113 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X37361 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1063386829

Kendell Desmond Jack, D.C's National Provider Identifier is 1063386829, issued on Oct 3, 2025. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Sebastopol, CA. The record was last updated on Oct 3, 2025.