Individual
ELENA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 BROADWAY, OAKLAND, CA 94611-5730
(510) 752-1000
Mailing address
3600 BROADWAY, OAKLAND, CA 94611-5730
(510) 752-1000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A176243
CA
207RP1001X
Pulmonary Disease Physician
Primary
A176243
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A176243
CA
Other
Enumeration date
04/08/2016
Last updated
08/16/2023
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