Organization
VA GLAHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA LYNN KENNEDY ND, ACRN, BC, FNP (NURSE PRACTITIONER)
(310) 478-3711
Entity
Organization
Contact information
Practice address
11301 WILSHIRE BLVD, BLDG 500 ROOM 6208, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4038
Mailing address
21917 LOPEZ ST, WOODLAND HILLS, CA 91364-3121
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
482522
CA
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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