Kennedy, Gannon Daniel
Kennedy, Gannon Daniel is an individual health care provider with primary practice located at 500 Arguello St Ste 100 , Redwood City CA 94063-1567. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kennedy, Gannon Daniel can be contacted via phone (650) 995-1285.Contact Information
Primary practice address
500 Arguello St Ste 100
Redwood City CA 94063-1567
Phone: (650) 995-1285
Fax: (650) 995-1208
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A117899 | California |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | A117899 | California |
Profile Details
NPI number | 1083933535 |
---|---|
LBN Legal business name | Kennedy, Gannon Daniel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2010 |
Last updated | Jan 4th, 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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