SearchCalifornia1041C0700X

Jason Kenyon

NPI 1538754528 · on the registry since 2021

Practice

Address
101 Bodin Cir
Travis Afb, CA 94535
Phone
(707) 423-5174
Organisation at this address
Dfas
60 Msgs
60th Medgrp-Travis
60th Medical Group
60th Medgrp-Travis
Inferred from a shared address, not stated in the registry.
Clinicians at this address
663

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-20

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