DR. KENDELL DESMOND JACK D.C
NPI 1063386829
Chiropractor in Sebastopol, CA
About Dr. Kendell Desmond Jack D.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENDELL DESMOND JACK D.C (NPI 1063386829) is an individual chiropractor in Sebastopol, California, licensed in California (37361) and active in the NPI registry since October 2025.
NPPES Registry Identity
Specialties & Licenses
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEBASTOPOL, CA 95472
SEBASTOPOL, CA 95472
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kendell Jack's NPI number?
The NPI number for Kendell Jack is 1063386829. It was assigned to this individual provider in the NPPES registry on October 3, 2025.
Where is Kendell Jack located?
Kendell Jack practices at 7765 Healdsburg Ave, Sebastopol, CA 95472. The listed phone number is (707) 823-3113.
What is Kendell Jack's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
When was this NPI record last updated?
The NPPES record for Kendell Jack was last updated on October 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.