Individual
CATHERINE REESE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
161 MITCHELL BLVD, SAN RAFAEL, CA 94903-2068
(415) 499-6777
(415) 499-3080
Mailing address
3230 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 499-6777
(415) 499-3080
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
C40320
CA
Other
Enumeration date
02/22/2007
Last updated
12/27/2011
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