Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Kwak

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710680004

Jennifer Kwak is a Student in an Organized Health Care Education/Training Program in Keene, New Hampshire. Practices as a sole proprietor. Licensed in New Hampshire.

Licensed in
NH
In the registry since
2023
Specialties on file
2

Practice location Address checks out

391 W St
Keene, NH 03431-2409
Phone: (603) 357-0677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 05071 (NH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710680004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 24, 2023
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

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