Individual provider · Type 1 NPI

Sean M. Kennedy, PA-C

Surgical Physician Assistant · Fremont, CA

NPI number 1164583092 Active

Practice location

39400 Paseo Padre Pkwy, Surgery Dept - Embarcadero Bldg
Fremont, CA 94538-2310

Call (510) 248-3075 Map

Fax (510) 248-3364

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA16076 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1164583092

Sean M. Kennedy, PA-C's National Provider Identifier is 1164583092, issued on Dec 13, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fremont, CA. The record was last updated on Dec 30, 2021.