DR. JESSICA LYNN KENNEDY DDS NPI 1750768263

NPI Information

NPI: 1750768263
Provider Name: DR. JESSICA LYNN KENNEDY, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
3801 KERN RD
YAKIMA, WA
ZIP 98902
Phone: (509) 574-3220
Get Directions

DR. Jessica Lynn Kennedy, DDS is a pediatric dentistry dentist in Yakima, WA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Jessica Lynn Kennedy, DDS NPI is 1750768263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3801 KERN RD
YAKIMA, WA
ZIP 98902
Phone: (509) 574-3220
Fax: (509) 574-3211

The NPI 1750768263 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/4/2015 and was last updated on 6/25/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		D13801	MINNESOTA	No
2	1223P0221X	Dentist	Pediatric Dentistry	DE60791472	WASHINGTON	Yes
3	1223P0221X	Dentist	Pediatric Dentistry	D13801	MINNESOTA	No
4	390200000X	Student in an Organized Health Care Education/Training Program		RR60541536	WASHINGTON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »