IndividualActive
Nicholas Kennedy, MD
NPI 1285058545 · Sports Medicine (Orthopaedic Surgery) Physician · Yakima, WA
Provider details
- NPI number
- 1285058545
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 64238 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
111 S 11th Ave
Yakima, WA 98902-3242
Phone: (509) 454-8888
Fax: (509) 453-0061
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5299
Tacoma, WA 98415-0299
Registry dates
- Enumerated
- 2014-02-06
- Last updated
- 2025-04-29
- Certified
- 2025-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.