Search › California › 183500000X
Kennedy Fan
NPI 1700141678 · on the registry since 2012 · sole proprietor
Practice
- Address
- 7501 Scarlet River Dr Apt J
Bakersfield, CA 93308 - Phone
- (510) 590-8170
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-06
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