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Rachel Shanan Kennedy
Medical Physician Assistant in Benicia, California
NPI 1801095799

Rachel Shanan Kennedy is a Medical Physician Assistant based in Benicia, CA and is specialized in Medical. Rachel Shanan Kennedy practices in Benicia, CA. The NPI Number for Rachel Shanan Kennedy is 1801095799 and holds a License No. 4090 (California).

The current practice location address for Rachel Shanan Kennedy is 1440 Military W Ste 101, Benicia, CA and can be reached out via phone at 707-745-0711.

Location: 1440 Military W Ste 101, Benicia, CA, 94510-2446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801095799
Provider Name
Rachel Shanan Kennedy
Credential
Provider Entity Type
Individual
Gender
Female
Address
1440 Military W Ste 101, Benicia, CA, 94510-2446
Phone Number
707-745-0711
Fax Number
Provider Enumeration Date
07/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1440 Military W Ste 101
City
Benicia
State
California
Zip
94510-2446
Phone Number
707-745-0711
Fax Number
person
Provider Business Mailing Address Details
Address
1440 Military W Ste 101
City
Benicia
State
California
Zip
94510-2446
Phone Number
707-745-0711
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
4090 (Georgia)
Definition
Definition to come...
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