Individual
MR. KENNEDY OBINWANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(310) 668-3403
Mailing address
4146 ELM AVE UNIT 8, LONG BEACH, CA 90807-2764
(562) 490-0385
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
560129
CA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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