Derrick Kennedy
NPI #1255922118 in San Rafael, California
Provider Information
- NPI Number
- 1255922118
- Entity Type
- Individual
- Name
- Derrick Kennedy
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 2, 2021
- Last Updated
- Sep 15, 2023
Practice Location
- Address
- 1089 LEA DR
- City
- San Rafael
- State
- California
- ZIP Code
- 94903-3746
- Phone
- (510) 368-0651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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