Mrs Clarina Kennedy, RDN | |
1643 41st Ave, San Francisco, CA 94122-3037 | |
(415) 279-8179 | |
Not Available |
Full Name | Mrs Clarina Kennedy |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1643 41st Ave, San Francisco, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1023489291 | NPI | - | NPPES |
Provider Name | Bay Area Diabetes And Wellness Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215242318 PECOS PAC ID: 8224225867 Enrollment ID: O20101209000064 |
Mailing Address | Practice Location Address |
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Mrs Clarina Kennedy, RDN 1643 41st Ave, San Francisco, CA 94122-3037 Ph: (415) 279-8179 | Mrs Clarina Kennedy, RDN 1643 41st Ave, San Francisco, CA 94122-3037 Ph: (415) 279-8179 |
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