Kenna, Kathleen Diane

Kenna, Kathleen Diane is an individual health care provider with primary practice located at 734 10Th Ave , San Diego CA 92101-6502. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kenna, Kathleen Diane can be contacted via phone (619) 275-0822.

Contact Information

Primary practice address
734 10Th Ave San Diego CA 92101-6502
Phone: (619) 275-0822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1104012483
LBN Legal business name Kenna, Kathleen Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Jan 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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