Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LINA JACKLYN KENNEDY, M.D.
ActiveProcedural Dermatology · CORONA DEL MAR, CA
Registration Details
- NPI Number
- 1467719260
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2012 (14.011359952665 yrs)
- Last Updated
- Sep 23, 2023
- License
-
A141381 (CA)
Practice Information
- Address
-
2121 E COAST HWY STE 280CORONA DEL MAR, CA, 926251940Browse CA providers · Browse ZIP 92625
- Phone
- 9496881288
- Primary Specialty
-
Procedural Dermatology
207NS0135X
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.