Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A11548 | CA |
NPI | 1013093327 |
---|---|
Provider Name | Abbey Lynn Kennedy |
First Address | San Francisco, CA 94115-1007 |
Second Address | San Francisco, CA 94143-2203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2006 |
Last Update Date | 30/07/2019 |