SEAN C. KENNEDY MD – NPI #1528156858
Internal Medicine

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

SEAN KENNEDY is a physician located in DAVIS, CA. NPPES has assigned the NPI number 1528156858 to SEAN KENNEDY on October 11, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RA0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Adolescent Medicine

The NPI profile was previously updated about 19 years ago on Jul 09, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SEAN KENNEDY below.

NPI Profile for
SEAN C. KENNEDY

NPI Number
1528156858
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SEAN C. KENNEDY
Credentials
MD
Primary location
1 SHIELDS AVE
COWELL HEALTH CENTER
DAVIS, CA 95616
Phone: (530) 752-2300 Fax: (530) 752-2306
Mailing address
1637 WESTSHORE ST
DAVIS, CA 95616-2973
Phone: (530) 752-2300 Fax: (530) 752-2306
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0000X
- Internal Medicine / Adolescent Medicine (Primary)
CA A043076

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.