Individual
SHARON KENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17046 MARYGOLD AVE, FONTANA, CA 92335-1722
(909) 427-5128
Mailing address
2008 N GAREY AVE, POMONA, CA 91767-2722
(909) 623-6131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
131950
CA
Other
Enumeration date
01/08/2016
Last updated
05/07/2026
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