Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kennedy Garrett

Individual provider Medical Physician Assistant · NPI 1083486435

Kennedy Garrett is a Medical Physician Assistant in Folsom, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1641 Creekside Dr Ste 201
Folsom, CA 95630-3831
Phone: (916) 983-3069
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA64125 (CA)

Record details

NPI number1083486435
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 27, 2023
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025
Mailing address2086 Roaring Camp Dr, Rancho Cordova, CA 95670-7635

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