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Jack H Kennady, DO
Student in an Organized Health Care Education/Training Program in Hood River, Oregon
NPI 1871298075

Jack H Kennady is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Jack H Kennady practices in Hood River, OR and has the professional credentials of DO. The NPI Number for Jack H Kennady is 1871298075 and holds a License No. PG215532 (Oregon).

The current practice location address for Jack H Kennady is 849 Pacific Ave, Hood River, OR and can be reached out via phone at 541-386-6380.

Location: 849 Pacific Ave, Hood River, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871298075
Provider Name
Jack H Kennady
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
849 Pacific Ave, Hood River, OR, 97208-3158
Phone Number
541-386-6380
Fax Number
Provider Enumeration Date
04/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
849 Pacific Ave
City
Hood River
State
Oregon
Zip
97031-1956
Phone Number
541-386-6380
Fax Number
person
Provider Business Mailing Address Details
Address
849 Pacific Ave
City
Hood River
State
Oregon
Zip
97031-1956
Phone Number
541-386-6380
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PG215532 (Oregon)
Definition
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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