Dr John David Kenney, MD DDS is a
General Practice physician based in Tumwater, Washington. Dr John David Kenney is licensed to practice in Washington (license number MD0022210) and his current practice location is 7345 Linderson Way Sw, Tumwater, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 725-8713.
NPI number for Dr John David Kenney is 1114043288 and his current mailing address is Po Box 41123, Ms 41123, Olympia, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114043288.
Physician's Profile
Full Name | Dr John David Kenney |
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Gender | Male |
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Speciality | General Practice |
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Location | 7345 Linderson Way Sw, Tumwater, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114043288
- Provider Enumeration Date: 03/21/2007
- Last Update Date: 01/14/2013
Medical Identifiers
Medical identifiers for Dr John David Kenney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114043288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | MD0022210 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John David Kenney is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr John David Kenney, MD DDS Po Box 41123, Ms 41123, Olympia, WA 98504-1123 Ph: (360) 725-8713 | Dr John David Kenney, MD DDS 7345 Linderson Way Sw, Tumwater, WA 98501-6504 Ph: (360) 725-8713 |
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