DR. Charles Derensbough Kennedy, MD
NPI #1942576111 in Simi Valley, California
Provider Information
- NPI Number
- 1942576111
- Entity Type
- Individual
- Name
- DR. Charles Derensbough Kennedy, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Internal Medicine
- Credential
- MD
- Enumeration Date
- Mar 31, 2012
- Last Updated
- Mar 31, 2012
Practice Location
- Address
- 229 SYCAMORE GROVE ST
- City
- Simi Valley
- State
- California
- ZIP Code
- 93065-7342
- Phone
- (805) 217-6724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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