SearchCalifornia171M00000X

Trayvon Willis Kennedy

NPI 1427741941 · on the registry since 2023 · sole proprietor

Practice

Address
630 Bercut Dr Ste C
Sacramento, CA 95811
Phone
(916) 441-3819
Fax
(916) 441-6377
Organisation at this address
Elhogar
El Hogar Community Service Inc
El Hogar Community Services Inc
El Hogar Community Services Inc.
El Hogar Community Services Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
103

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2023-05-31

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