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:
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Health care specialties

SpecialtyCodeLicense #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 4 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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