Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES DERENSBOUGH KENNEDY, MD
Active Sole ProprietorDR. CHARLES DERENSBOUGH KENNEDY, MD is a Internal Medicine healthcare provider located in SIMI VALLEY, California. NPI 1942576111 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · SIMI VALLEY, CA
Registration Details
- NPI Number
- 1942576111
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2012 (14.377621437113 yrs)
- Last Updated
- Mar 31, 2012
- License
-
G066894 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
229 SYCAMORE GROVE STSIMI VALLEY, CA, 930657342Browse CA providers · Browse ZIP 93065
- Phone
- 8052176724
- Fax
- 8052176724
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in SIMI VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| WILLIAM ANG LEE | MD | 1619960705 |
| BRENT THOMAS TROMPETTO | MD | 1194718254 |
| DR. GEORGE A DICHTER | M.D. | 1841265261 |
| MOJGAN MAKHSOOSI | M.D. INC. | 1346218658 |
| DR. ABDOL MEMAR-ZIA | MD | 1639122112 |
| DR. KEVIN RICHARD COLWELL | M.D. | 1538195672 |
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.