person
Lisa Ann Kennelly, NP
Adult Health Nurse Practitioner in Fontana, California
NPI 1508352972

Lisa Ann Kennelly is an Adult Health Nurse Practitioner based in Fontana, CA and is specialized in Adult Health. Lisa Ann Kennelly practices in Fontana, CA and has the professional credentials of NP. The NPI Number for Lisa Ann Kennelly is 1508352972 and holds a License No. 95009012 (California).

The current practice location address for Lisa Ann Kennelly is 16931 Bayou Ln, Fontana, CA and can be reached out via phone at 909-921-3072.

Location: 16931 Bayou Ln, Fontana, CA, 92336-2199
person
Provider Profile Details
NPI Number
1508352972
Provider Name
Lisa Ann Kennelly
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
16931 Bayou Ln, Fontana, CA, 92336-2199
Phone Number
909-921-3072
Fax Number
Provider Enumeration Date
07/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16931 Bayou Ln
City
State
Zip
92336-2199
Phone Number
909-921-3072
Fax Number
person
Provider Business Mailing Address Details
Address
16931 Bayou Ln
City
State
Zip
92336-2199
Phone Number
909-921-3072
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
95009012 (California)
Definition
Definition to come...
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