Doctor Name: | DR. JESSICA C KENNEDY-SCHLICHER |
NPI Number: | 1073648481 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD60074946 |
Business Practice Address: | 450 So. Kitsap Blvd Suite 100 Port Orchard, WA - 983660000 |
Business Phone Number: | 3607446275 |
Business Fax Number: | 3607446270 |
Mailing Address: | 2520 Cherry Ave, BREMERTON |
State: | WA |
Postal Code: | 983100000 |
Phone Number: | 3607446275 |
Fax Number: | 3607446270 |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 04/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD60074946 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |