Individual provider · Type 1 NPI
Lisa Ann Kennelly, NP
Adult Health Nurse Practitioner · Fontana, CA
NPI number
1508352972
Active
Practice location
16931 Bayou Ln
Fontana, CA 92336-2199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95009012 (CA) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Fontana
About NPI 1508352972
Lisa Ann Kennelly, NP's National Provider Identifier is 1508352972, issued on Jul 9, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fontana, CA. The record was last updated on Jul 9, 2018.