Individual
KENNARD DAVID BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1990 N CALIFORNIA BLVD, SUITE 400, WALNUT CREEK, CA 94596-3742
(925) 225-5837
Mailing address
440 DAVIS CT, APT 311, SAN FRANCISCO, CA 94111-2445
(415) 517-4047
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA20918
CA
Other
Enumeration date
02/07/2011
Last updated
09/13/2013
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