Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | PSY21322 | CA |
NPI | 1134280530 |
---|---|
Provider Name | Dr. Karen Marie Kenny |
First Address | San Francisco, CA 94118-3109 |
Second Address | San Francisco, CA 94118-3109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 30/12/2021 |