Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOFIA KENNEALLY
Active Sole ProprietorSOFIA KENNEALLY is a Physician Assistant healthcare provider located in LAKEPORT, California. NPI 1528718327 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAKEPORT, CA
Registration Details
- NPI Number
- 1528718327
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 25, 2022 (4.2108220682477 yrs)
- Last Updated
- Oct 24, 2025
- Licenses
-
60896 (CA)PA60896 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5176 HILL RD ELAKEPORT, CA, 954536300Browse CA providers · Browse ZIP 95453
- Phone
- 7072625000
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LAKEPORT, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. BEVERLY A SOUTHERLAND | P.A. | 1376529891 |
| CHRISTINE ANNE GOOLD | FNP/PA-C | 1184679300 |
| MS. DIANA ELIZABETH RILEY | M.P.H., M.S.,P.A.-C. | 1730386046 |
| MR. GREGORY SEAN HADFIELD | PA-C | 1285869966 |
| MR. ERIK KRISTOPHER SMITH | PA-C | 1396033395 |
| JAQUES NGAKAM | PA | 1194254995 |
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.