Individual provider · Type 1 NPI

Jackie Kennedy

Physician Assistant · Washington, DC

NPI number 1730497918 Active

Practice location

1350 Connecticut Ave NW Ste 1250
Washington, DC 20036-1728

Call (888) 663-6331 Map

Fax (415) 252-7176

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10296 (GA)
Physician Assistant 363A00000X1093616 (MD)
Physician Assistant 363A00000X0010-11122 (NC)
Physician Assistant Primary 363A00000X0110-007135 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1730497918

Jackie Kennedy's National Provider Identifier is 1730497918, issued on Sep 21, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Washington, DC. The record was last updated on Mar 17, 2025.