Individual provider · Type 1 NPI

Kenny Roosevelt, N/A

Specialist · San Francisco, CA

NPI number 1710703087 Active

Practice location

1380 Howard St Fl 2
San Francisco, CA 94103-2649

Call (628) 754-9216 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1710703087

Kenny Roosevelt, N/A's National Provider Identifier is 1710703087, issued on Dec 2, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Francisco, CA. The record was last updated on Dec 2, 2024.