Jennifer Marie Kennalley
Individual provider Active NPI Other Technician · Stockton, CA
NPI 1982247565 · NPPES record last updated Oct 25, 2019
Key facts
- NPI
- 1982247565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 2291 W March LN
Stockton, CA 95207-6652 - Phone
- (925) 408-8911
- NPI assigned
- Oct 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
2291 W March LN
Stockton, CA 95207-6652
Mailing address
2291 W March LN
Stockton, CA 95207-6652
Phone (925) 408-8911
Other providers in Stockton, CA
- Carrisa Kemp
- Sydney T Kemp
- Alison Kemps
- Kimberly Kendall
- Amy Kennalley
- Amanda Kennedy
- Carla Respondo Kennedy
- Kenneth V. Miselis, M.D. Inc.
- Bobbie Jean Kenoly
- Quincy Kenoly
All providers in Stockton, CA · Other Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.