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Active NPI 1114043288 Individual Practitioner Male Practitioner

Dr. John David Kenney , MD DDS

General Practice • Tumwater, WA

Professional Overview & Biography Verified Profile Summary

Dr. John Kenney, MD DDS is a registered healthcare professional specializing in General Practice in Tumwater, WA. Practice services are available at 7345 LINDERSON WAY SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7345 Linderson Way Sw

Tumwater, WA 985016504

Telephone 3607258713
Fax 3605869060
Associated Practice Facility / Clinic
🏢 Washington State Department Of Corrections Facility NPI 1861813834

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Tumwater, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Tumwater, WA (423 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WA MD0022210

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Grant Deger , MD

Internal Medicine

NPI 1669688693

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active January 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2013

Registered at 7345 LINDERSON WAY SW, TUMWATER, WA 985016504 (Tel: 3607258713)

📍
Updated Business Mailing Address January 14, 2013

Registered at PO BOX 41123, MS 41123, OLYMPIA, WA 985041123 (Tel: 3607258713)

👤
Provider Name / Credentials Updated January 14, 2013

Recorded as JOHN KENNEY, MD DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2013

General Practice (License #MD0022210 in WA)

🟢
Initial NPI Registration & Enumeration March 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114043288
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: January 14, 2013
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

Po Box 41123, Ms 41123

Olympia, WA 985041123

Phone: 3607258713

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.