Organization
JOHN M. KENNEDY, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M KENNEDY M.D. (PRESIDENT)
(310) 909-4687
Entity
Organization
Contact information
Practice address
20911 EARL ST, 200, TORRANCE, CA 90503-4352
(310) 909-4687
Mailing address
20911 EARL ST, 200, TORRANCE, CA 90503-4352
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G77565
CA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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