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Individual

DR. JULIE RENEE KENNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., PH.D

Contact information

Practice address
502 PIERCE ST, MONTEREY, CA 93940-2621
(808) 263-3233
Mailing address
502 PIERCE ST, MONTEREY, CA 93940-2621
(831) 747-1889

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
10836
HI
207N00000X
Dermatology Physician
Primary
G86681
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1366454423
NPI
01
207N00000X
207N00000X
CA
01
G86681
CALIFORNIA LICENSE
CA
Enumeration date
08/13/2006
Last updated
05/24/2024
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