KENNETH J KILLPACK D.D.S
NPI 1750464749
Dentist in Walla Walla, WA

Active since October 23, 2006
1120 W ROSE ST, WALLA WALLA, WA 99362(509) 525-5595 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth J Killpack D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH J KILLPACK D.D.S (NPI 1750464749) is an individual dentist in Walla Walla, Washington, licensed in Washington (DE00010682) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1750464749
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKENNETH J KILLPACKCredential: D.D.S
Location Address1120 W ROSE STWalla Walla, WA 99362-1662
Mailing AddressPo Box 190Toppenish, WA 98948-0190
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1750464749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WA · DE00010682
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1120 W ROSE ST, Walla Walla, WA 99362

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
1120 W ROSE ST
WALLA WALLA, WA 99362
Registered Nurse (Community Health)
1120 W ROSE ST
WALLA WALLA, WA 99362
Dentist
1120 W ROSE ST
WALLA WALLA, WA 99362
Registered Nurse (Maternal Newborn)
1120 W ROSE ST
WALLA WALLA, WA 99362
Clinical Medical Laboratory
1120 W ROSE ST
WALLA WALLA, WA 99362
Physician Assistant
1120 W ROSE ST
WALLA WALLA, WA 99362
Family Medicine
1120 W ROSE ST
WALLA WALLA, WA 99362
Social Worker (Clinical)
1120 W ROSE ST
WALLA WALLA, WA 99362

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 Kenneth Killpack's NPI number?

The NPI number for Kenneth Killpack is 1750464749. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Kenneth Killpack located?

Kenneth Killpack practices at 1120 W Rose St, Walla Walla, WA 99362. The listed phone number is (509) 525-5595.

What is Kenneth Killpack's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kenneth Killpack was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.