Sean Canary Kennedy in Davis - Adolescent Medicine
Sean Canary Kennedy - NPI 1528156858
Sean Canary Kennedy is a Adolescent Medicine in Davis, California. Sean Canary Kennedy practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Sean Canary Kennedy is 1528156858. The last update date is 2007-07-09.
Sean Canary Kennedy's current location address is 1637 Westshore St, Davis, California. You can contact this provider via phone number 5307522300 and fax number 5307522306. The mailing address for Sean Canary Kennedy is 1637 Westshore St, Davis, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean Canary Kennedy |
|---|---|
| Address | 1637 Westshore St, Davis, California |
| Phone Number | 5307522300 |
| Fax Number | 5307522306 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528156858 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1637 Westshore St |
|---|---|
| City | Davis |
| State | California (CA) |
| Post Code | 956162973 |
| Phone Number | 5307522300 |
| Fax Number | 5307522306 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Ra0000X |
| Licence No | A043076 |
|
Definition: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sean Canary Kennedy by the Centers for Medicare & Medicaid Services?
The Sean Canary Kennedy has been issued the NPI (National Provider Identifier) 1528156858 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Sean Canary Kennedy?
The Sean Canary Kennedy is situated at 1637 Westshore St, in the city of Davis, state of CA, with the zip code 956162973.
What is the Sean Canary Kennedy's specialty and taxonomy code?
The Sean Canary Kennedy's specialty is Adolescent Medicine, and the corresponding taxonomy code is 207Ra0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528156858 to Sean Canary Kennedy?
The Centers for Medicare & Medicaid Services originally issued the 1528156858 to Sean Canary Kennedy on 2006-10-11.
As of what date was the information pertaining to Sean Canary Kennedy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sean Canary Kennedy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.