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Ivanna Lynn Kenwood, DPM
Podiatrist in Santa Monica, California
NPI 1699329052

Ivanna Lynn Kenwood is a Podiatrist based in Los Angeles, CA. Ivanna Lynn Kenwood practices in Santa Monica, CA and has the professional credentials of DPM. The NPI Number for Ivanna Lynn Kenwood is 1699329052 and holds a License No. EL6932 (California).

The current practice location address for Ivanna Lynn Kenwood is 2001 Santa Monica Blvd Ste 1060, Santa Monica, CA and can be reached out via phone at 310-582-1940.

Location: 2001 Santa Monica Blvd Ste 1060, Santa Monica, CA, 90045-5631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699329052
Provider Name
Ivanna Lynn Kenwood
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
2001 Santa Monica Blvd Ste 1060, Santa Monica, CA, 90045-5631
Phone Number
310-582-1940
Fax Number
Provider Enumeration Date
07/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 Santa Monica Blvd Ste 1060
City
Santa Monica
State
California
Zip
90404-2130
Phone Number
310-582-1940
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Santa Monica Blvd Ste 1060
City
Santa Monica
State
California
Zip
90404-2130
Phone Number
310-582-1940
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
5799 (California)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
EL6932 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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