Individual provider · Type 1 NPI

Kennedy Garrett

Medical Physician Assistant · Folsom, CA

NPI number 1083486435 Active

Practice location

1641 Creekside Dr Ste 201
Folsom, CA 95630-3831

Call (916) 983-3069 Map

Mailing address

2086 Roaring Camp Dr
Rancho Cordova, CA 95670-7635

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA64125 (CA)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1083486435

Kennedy Garrett's National Provider Identifier is 1083486435, issued on Oct 27, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Folsom, CA. The record was last updated on Mar 14, 2025.