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LISA ANN KENNELLY NP
NPI 1508352972
Nurse Practitioner - Adult Health in Fontana, CA

Active since July 09, 2018
16931 BAYOU LN, FONTANA, CA 92336(909) 921-3072 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa Ann Kennelly Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANN KENNELLY NP (NPI 1508352972) is an individual adult health provider in Fontana, California, licensed in California (95009012) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1508352972
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLISA ANN KENNELLYCredential: NP
Location Address16931 BAYOU LNFontana, CA 92336-2199
Mailing Address16931 Bayou LnFontana, CA 92336-2199 · (909) 921-3072
Phone(909) 921-3072
Sole ProprietorNo
Enumeration DateJuly 9, 2018
✔ NPI 1508352972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95009012
16931 BAYOU LN, Fontana, CA 92336
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Kennelly's NPI number?

The NPI number for Lisa Kennelly is 1508352972. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Lisa Kennelly located?

Lisa Kennelly practices at 16931 Bayou Ln, Fontana, CA 92336. The listed phone number is (909) 921-3072.

What is Lisa Kennelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Lisa Kennelly was last updated on July 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.