Individual
MS. JANE E KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2455 BENNETT VALLEY RD STE B205, SANTA ROSA, CA 95404-5667
(707) 536-9722
(707) 843-5475
Mailing address
2455 BENNETT VALLEY RD STE B205, SANTA ROSA, CA 95404-5667
(707) 536-9722
(707) 843-5475
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13881
CA
Other
Enumeration date
04/24/2007
Last updated
03/17/2018
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