Provider Demographics
NPI:1346471000
Name:KAMNIKAR, JENNIFER (PA)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:KAMNIKAR
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:RENFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2231 GALAXY CT
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-4933
Mailing Address - Country:US
Mailing Address - Phone:925-685-7744
Mailing Address - Fax:925-685-0462
Practice Address - Street 1:2231 GALAXY CT
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-4933
Practice Address - Country:US
Practice Address - Phone:925-685-7744
Practice Address - Fax:925-685-0462
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA20439363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant