Lisa Ann Kennelly, NP
NPI #1508352972 in Fontana, California
Provider Information
- NPI Number
- 1508352972
- Entity Type
- Individual
- Name
- Lisa Ann Kennelly, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- NP
- Enumeration Date
- Jul 9, 2018
- Last Updated
- Jul 9, 2018
Practice Location
- Address
- 16931 BAYOU LN
- City
- Fontana
- State
- California
- ZIP Code
- 92336-2199
- Phone
- (909) 921-3072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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