Individual
DR. MARTHA NOLTE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UCSF, A545, 400 PARNASSUS, SAN FRANCISCO, CA 94143-0001
(415) 353-2346
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(141) 535-3234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G42630
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G42630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G426300
—
CA
Enumeration date
05/27/2006
Last updated
07/28/2008
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