Search › California › 101YA0400X
Carla Kennedy, CATCI
NPI 1538612874 · on the registry since 2016
Practice
- Address
- 8626 Lower Sacramento Rd Ste 41
Stockton, CA 95210 - Phone
- (209) 478-2487
- Organisation at this address
- Aegis Treatment Centers, Llc
Aegis Treatment Center, Llc.
Aegis Treatment Centers, Llc
Nationwide Medical Group, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 69
Additional practice sites
- 1839 S El Dorado St, Stockton, CA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-11
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