Individual provider · Type 1 NPI
Rachel Shanan Kennedy
Medical Physician Assistant · Benicia, CA
NPI number
1801095799
Active
Practice location
1440 Military W Ste 101
Benicia, CA 94510-2446
Mailing address
1440 Military W, Ste 101
Benicia, CA 94510-2446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 4090 (GA) |
| Medical Physician Assistant Primary | 363AM0700X | 53773 (CA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Benicia
About NPI 1801095799
Rachel Shanan Kennedy's National Provider Identifier is 1801095799, issued on Jul 12, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Benicia, CA. The record was last updated on Mar 29, 2021.