Individual
SEAN M. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
39400 PASEO PADRE PKWY, SURGERY DEPT - EMBARCADERO BLDG, FREMONT, CA 94538-2310
(510) 248-3075
(510) 248-3364
Mailing address
39400 PASEO PADRE PKWY, SURGERY DEPT - EMBARCADERO BLDG, FREMONT, CA 94538-2310
(510) 248-3075
(510) 248-3364
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA16076
CA
Other
Enumeration date
12/13/2006
Last updated
12/30/2021
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