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

GREGORY A KENNEBECK, MD

Active Sole Proprietor

GREGORY A KENNEBECK, MD is a Family Medicine healthcare provider located in TRAVIS AFB, California. NPI 1871579847 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · TRAVIS AFB, CA

Registration Details

NPI Number
1871579847
Provider Type
Individual
Gender
Male
NPI Issued
Dec 21, 2005 (20.606799664682 yrs)
Last Updated
May 31, 2013
Licenses
A63038 (CA)
A63038 (CA)
Sole Proprietor
Yes

Practice Information

Address
101 BODIN CIR
TRAVIS AFB, CA, 945351809
Browse CA providers · Browse ZIP 94535
Phone
7074231110
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in TRAVIS AFB, CA

Name Credential NPI
DR. ANITA PATIL MD 1750374138
DR. JOANN L. BASARAN MD 1184610305
DR. PATRICK AARON SHEA M.D. 1013905876
DR. BYRON CLAUDE HEPBURN MD 1730178021
RONALD OWEN CRANDALL M.D. 1861473456
DR. DAVID M OLSON M.D. 1134105000
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.