JACK H KENNADY DO
NPI 1871298075
Student in an Organized Health Care Education/Training Program in Hood River, OR

Q: What is Jack Kennady's NPI number?

The NPI number for Jack Kennady is 1871298075. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Q: What is Jack Kennady's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Kennady was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 05, 2023PECOS Enrolled

849 PACIFIC AVE, HOOD RIVER, OR 97031(541) 386-6380 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jack H Kennady Do NPPES

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

JACK H KENNADY DO (NPI 1871298075) is an individual student in an organized health care education/training program in Hood River, Oregon, licensed in Oregon (PG215532) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871298075

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACK H KENNADYCredential: DO

Location Address849 PACIFIC AVEHood River, OR 97031-1956

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(541) 386-6380

Sole ProprietorNo

Enumeration DateApril 5, 2023

NPPES CertifiedApril 5, 2023

✔ NPI 1871298075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in OR · PG215532

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

849 PACIFIC AVE, Hood River, OR 97031

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack H Kennady Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

KATHLEEN MCKENNA M.D., M.P.H.

Family Medicine