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Sean Kennedy

NPI 1396221719 · on the registry since 2018

Practice

Address
1149 Warren Ave
Vallejo, CA 94591
Phone
(707) 755-2529
Organisation at this address
Genesis House
Genesis House, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-07-18

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