Trayvon I Willis Kennedy
Trayvon I Willis Kennedy is a Case Manager/Care Coordinator in Sacramento, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
630 Bercut Dr Ste CSacramento, CA 95811-0110
Phone: (916) 441-3819
Fax: (916) 441-6377
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1427741941 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 31, 2023 |
| Last updated in NPPES | May 31, 2023 |
| Certification date | May 31, 2023 |
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