Individual
DR. LINA JACKLYN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2121 E COAST HWY STE 280, CORONA DEL MAR, CA 92625-1940
(949) 688-1288
Mailing address
2121 E COAST HWY STE 280, CORONA DEL MAR, CA 92625-1940
(949) 688-1288
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
A141381
CA
Other
Enumeration date
04/18/2012
Last updated
09/23/2023
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