Individual provider · Type 1 NPI

Jack H. Kennady, DO

Student in an Organized Health Care Education/Training Program · Hood River, OR

NPI number 1871298075 Active

Practice location

849 Pacific Ave
Hood River, OR 97031-1956

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPG215532 (OR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1871298075

Jack H. Kennady, DO's National Provider Identifier is 1871298075, issued on Apr 5, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hood River, OR. The record was last updated on Apr 5, 2023.