Search › California › 167G00000X
Charro Kennebruew
NPI 1063053684 · on the registry since 2019
Practice
- Address
- 2640 Industry Way
Lynwood, CA 90262 - Phone
- (310) 627-4525
- Organisation at this address
- Project Impact Inc.
Project Impact Inc.
Barbour & Floyd Medical AssociatesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 175
Additional practice sites
- 3628 Stockdale Hwy, Bakersfield, CA
- 17695 Industrial Farm Rd, Bakersfield, CA
Registry record
- Primary taxonomy
- 167G00000X
167G00000X
- Also registered as
- 106H00000X
106H00000X
171M00000X
1041C0700X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California