National Provider Identifier Database

JACK D KENNIS, MD – NPI #1477504249
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

JACK D KENNIS, MD
11500 BROOKSHIRE AVE
DOWNEY, CA90241
Phone: 562-904-5000
Fax:
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X

* Indicates primary specialty

NPI Profile & details for JACK D KENNIS

NPI Number 1477504249
Credentials MD
Entity Individual
Enumeration date 05/15/2006
Last updated 01/29/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • CA License #: G46843
  • CA Medicaid: 00G468430
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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