Kenny Roosevelt, N/A
Kenny Roosevelt, N/A is a Specialist in San Francisco, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1380 Howard St Fl 2San Francisco, CA 94103-2649
Phone: (628) 754-9216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1710703087 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | N/A |
| Sole proprietor | Yes |
| NPI enumerated | December 2, 2024 |
| Last updated in NPPES | December 2, 2024 |
| Certification date | December 2, 2024 |
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