Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANA GAVIGLIO KENNEY
Active Sole ProprietorSHANA GAVIGLIO KENNEY is a Community/Behavioral Health healthcare provider located in SAN RAFAEL, California. NPI 1376957373 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1376957373
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2014 (12.203620725787 yrs)
- Last Updated
- Jun 17, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
1665 GRAND AVESAN RAFAEL, CA, 949012211Browse CA providers · Browse ZIP 94901
- Phone
- 4152589572
- Fax
- 4152589572
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. VALERIE R DAVIS-RUCKER | — | 1760631865 |
| SMADAR DE LANGE | — | 1265759872 |
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.