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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LANCE AARON KENNEDY

Active Sole Proprietor

LANCE AARON KENNEDY is a Substance Abuse Rehabilitation Facility healthcare provider located in TARZANA, California. NPI 1104661925 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · TARZANA, CA

Registration Details

NPI Number
1104661925
Provider Type
Individual
Gender
Male
NPI Issued
Jun 25, 2024 (2.1808840836715 yrs)
Last Updated
Jun 25, 2024
Sole Proprietor
Yes

Practice Information

Address
18811 REDWING ST
TARZANA, CA, 913563341
Browse CA providers · Browse ZIP 91356
Phone
2402059462
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.