Individual
JACKIE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 CONNECTICUT AVE NW STE 1250, WASHINGTON, DC 20036-1728
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11122
NC
363A00000X
Physician Assistant
Primary
0110-007135
VA
363A00000X
Physician Assistant
10296
GA
363A00000X
Physician Assistant
1093616
MD
Other
Enumeration date
09/21/2010
Last updated
03/17/2025
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