Individual
KEVIN PATRICK KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3900 WOODLAND AVE RM A2118, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
UCLA PSYCHIATRY HOUSE STAFF OFFICE 760 WESTWOOD PLAZA S, SUITE 37-384, LOS ANGELES, CA 90024
(310) 794-6298
(424) 377-6712
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A179144
CA
2084P0800X
Psychiatry Physician
MD486301
PA
Other
Enumeration date
03/22/2020
Last updated
07/26/2024
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