Individual
KAREN J KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5335 LAKESHORE BLVD, LAKEPORT, CA 95453-6123
(707) 263-7725
(707) 263-1096
Mailing address
5335 LAKESHORE BLVD, LAKEPORT, CA 95453-6123
(707) 263-7725
(707) 263-1096
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15788
CA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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