Kenwood, Ivanna Lynn

Kenwood, Ivanna Lynn is an individual health care provider with primary practice located at 2001 Santa Monica Blvd Ste 1060 , Santa Monica CA 90404-2130. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Kenwood, Ivanna Lynn can be contacted via phone (310) 582-1940.

Contact Information

Primary practice address
2001 Santa Monica Blvd Ste 1060 Santa Monica CA 90404-2130
Phone: (310) 582-1940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X EL6932 California
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5799 California

Profile Details

NPI number 1699329052
LBN Legal business name Kenwood, Ivanna Lynn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2019
Last updated Sep 7th, 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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