Individual
KENNEDI BREELLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
907 PICO BLVD, SANTA MONICA, CA 90405-1326
(866) 452-5273
Mailing address
403 E 137TH ST, LOS ANGELES, CA 90061-2603
(424) 509-3443
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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