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Individual

MRS. CHRISTINE ELIZABETH KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MSN, CPNP

Contact information

Practice address
747 52ND ST, 4TH FLOOR UROLOGY, OAKLAND, CA 94609-1809
(510) 428-3402
Mailing address
2355 SCOTT ST, APT 301, SAN FRANCISCO, CA 94115-1768
(415) 624-6918

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
652635
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
20979
CA

Other

Enumeration date
01/11/2012
Last updated
02/21/2012
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