| Rachel Shanan Kennedy, | |
|
1440 Military W Ste 101, Benicia, CA 94510-2446 | |
| (707) 745-0711 | |
| Not Available |
| Full Name | Rachel Shanan Kennedy |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1440 Military W Ste 101, Benicia, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801095799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 4090 (Georgia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 53773 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Shanan Kennedy, 1440 Military W, Ste 101, Benicia, CA 94510-2446 Ph: (707) 745-0711 | Rachel Shanan Kennedy, 1440 Military W Ste 101, Benicia, CA 94510-2446 Ph: (707) 745-0711 |
Mr. Larry Racasa Angel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3400 E. 2nd St., Careonsite, Health Services, Benicia, CA 94510 Phone: 707-745-7571 Fax: 707-745-7903 | |
Joshua Justin Pfeiffer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1272 Monte Vista Ct, Benicia, CA 94510 Phone: 602-334-9524 |