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Organization
EAST BAY PODIATRY, PC
Active
Organization
EAST BAY PODIATRY, PC
Active
Other names
Colleen M. Kenney, D.P.M.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN M KENNEY D.P.M. (PRESIDENT)
(925) 685-3117
Entity
Organization
Contact information
Practice address
2485 HIGH SCHOOL AVE STE 222, CONCORD, CA 94520-1813
(925) 685-3117
Mailing address
2485 HIGH SCHOOL AVE STE 222, CONCORD, CA 94520-1813
(925) 685-3117
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
NULL
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
NULL
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
06/11/2021
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