JACK D KENNIS

DOWNEY, CA
NPI1477504249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  G46843)
Enumeration Date2006-05-15
Last Update Date2008-03-31
Business Address
-- JACK D KENNIS MD
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Phone number: 562-904-5000
Mailing Address
-- JACK D KENNIS MD
PO BOX 39159
DOWNEY, CA 90239
Phone number: 562-809-3576