Jared Kenney
Oral and Maxillofacial Surgeon
21300 N John Wayne Pkwy Ste 114
Maricopa
, Arizona 85139
Jared Kenney
Oral and Maxillofacial Surgeon
21300 N John Wayne Pkwy Ste 114
Maricopa
, Arizona 85139
(916) 204-8762
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Jared Kenney
- 3232 E Redwood Ln
- Phoenix, AZ
- Zip : 85048-7834
- Phone : (916) 204-8762
Second Address
- Jared Kenney
- 21300 N John Wayne Pkwy Ste 114
- Maricopa, AZ
- Zip : 85139
- Phone : (916) 204-8762
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | D009960 | AZ |
National Provider Identifier
| NPI | 1104238716 |
|---|---|
| Provider Name | Jared Kenney |
| First Address | Phoenix, AZ 85048-7834 |
| Second Address | Maricopa, AZ 85139 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2014 |
| Last Update Date | 23/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.