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Geric Kenebrew

NPI 1265260640 · on the registry since 2024 · sole proprietor

Practice

Address
71 W Las Flores Dr
Altadena, CA 91001
Phone
(626) 316-4740

Registry record

Primary taxonomy
101YP1600X
101YP1600X
Also registered as
171M00000X
175T00000X
251B00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-25

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