Individual
DR. PATRICIA LYNN KENNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
999 S FAIRMONT AVE, LODI, CA 95240-5100
(209) 334-3333
(209) 369-2641
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A156269
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
A156269
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2014
Last updated
01/18/2023
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