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1457370959
RICHARD JEROME KENNEDY
LOS ANGELES, CA
NPI
1457370959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G62092)
Enumeration Date
2006-07-18
Last Update Date
2010-06-28
Business Address
-- RICHARD JEROME KENNEDY md
200 MEDICAL PLAZA
LOS ANGELES, CA 90095
Phone number: 310-825-6301
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Mailing Address
-- RICHARD JEROME KENNEDY md
5767 W CENTURY BLVD SUITE 200
LOS ANGELES, CA 90045-5632
Phone number: 310-828-7172
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