Sean M. Kennedy is a Surgical in Fremont, California. Sean M. Kennedy practices all healthcare services and medical treatments related to Surgical. The NPI Number for Sean M. Kennedy is 1164583092. The last update date is 2021-12-30.
Sean M. Kennedy's current location address is 39400 Paseo Padre Pkwy, Fremont, California. You can contact this provider via phone number 5102483075 and fax number 5102483364. The mailing address for Sean M. Kennedy is 39400 Paseo Padre Pkwy, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean M. Kennedy |
|---|---|
| Address | 39400 Paseo Padre Pkwy, Fremont, California |
| Phone Number | 5102483075 |
| Fax Number | 5102483364 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1164583092 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2021-12-30 |
Provider Mailing Address Detail
| Address | 39400 Paseo Padre Pkwy |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945382310 |
| Phone Number | 5102483075 |
| Fax Number | 5102483364 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA16076 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the unique 10-digit identifier code issued to Sean M. Kennedy by the Centers for Medicare & Medicaid Services?
The Sean M. Kennedy has been assigned the NPI (National Provider Identifier) 1164583092 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Sean M. Kennedy is physically located?
The Sean M. Kennedy is physically situated at the following address: 39400 Paseo Padre Pkwy, Fremont, CA, 945382310.
What is Sean M. Kennedy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sean M. Kennedy is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164583092 to Sean M. Kennedy?
The Sean M. Kennedy received its 1164583092 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.
When was the information pertaining to Sean M. Kennedy most recently updated or revised?
The details related to Sean M. Kennedy, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-30.
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