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NPI Code Detail

MEDICARE: KENNYA RODRIGUEZ MSW

MEDICARE: KENNYA RODRIGUEZ MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1548148372
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNYA RODRIGUEZ MSW
Provider Business Mailing Address
First Line : 1922 THE ALAMEDA STE 316
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-1461
Country : US
Telephone Number : 408-637-0341
Fax Number :
Provider Business Practice Location Address
First Line : 1922 THE ALAMEDA STE 316
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-1461
Country : US
Telephone Number : 408-637-0341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2025
Last Update Date : 08/21/2025

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Directions to “ KENNYA RODRIGUEZ MSW” Practice Location

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