Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH KEENEY RENWICK, JR., MD, MPH, FAAFP
ActiveDR. KENNETH KEENEY RENWICK, JR., MD, MPH, FAAFP is a Family Medicine healthcare provider located in TUOLUMNE, California. NPI 1659344356 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TUOLUMNE, CA
Registration Details
- NPI Number
- 1659344356
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2006 (20.504185077043 yrs)
- Last Updated
- Mar 7, 2012
- Licenses
-
G50654 (CA)G50654 (CA)
Practice Information
- Address
-
18880 CHERRY VALLEY BLVDTUOLUMNE, CA, 953799506Browse CA providers · Browse ZIP 95379
- Phone
- 2099285400
- Fax
- 2099285412
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
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.