Individual
GANNON DANIEL KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 ARGUELLO ST STE 100, REDWOOD CITY, CA 94063-1567
(650) 995-1285
(650) 995-1208
Mailing address
500 ARGUELLO ST STE 100, REDWOOD CITY, CA 94063-1567
(650) 995-1285
(650) 995-1208
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A117899
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A117899
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2010
Last updated
01/04/2022
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