Lance Kennedy

NPI 1316792856 · on the registry since 2024 · sole proprietor

Practice

Address: 5500 University Pkwy
San Bernardino, CA 92407
Phone: (909) 537-5495
Organisation at this address: University Enterprise Corporation
California State University San Bernardino
California State University San Bernardino Ap
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 143

Registry record

Primary taxonomy: 251S00000X
251S00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-04-18

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