CHARLES DERENSBOUGH KENNEDY

SIMI VALLEY, CA
NPI1942576111
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  G066894)
Enumeration Date2012-03-31
Last Update Date2012-03-31
Business Address
Dr. CHARLES DERENSBOUGH KENNEDY MD
229 SYCAMORE GROVE ST
SIMI VALLEY, CA 93065-7342
Phone number: 805-217-6724
Mailing Address
Dr. CHARLES DERENSBOUGH KENNEDY MD
229 SYCAMORE GROVE ST
SIMI VALLEY, CA 93065-7342
Phone number: 805-217-6724
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