Individual
FRANK KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2435 RIDGEGATE ROW, LA JOLLA, CA 92037-0919
(858) 565-0104
(858) 656-0194
Mailing address
2435 RIDGEGATE ROW, LA JOLLA, CA 92037-0919
(858) 565-0104
(858) 656-0194
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G57613
CA
Other
Enumeration date
09/25/2006
Last updated
08/27/2007
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