What is Kenny Roosevelt's NPI number?

Kenny Roosevelt's National Provider Identifier (NPI) is 1710703087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kenny Roosevelt's specialty?

Kenny Roosevelt is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Kenny Roosevelt located?

Kenny Roosevelt's practice location on file with NPPES is 1380 Howard St Fl 2, San Francisco, CA 94103-2649.

What is Kenny Roosevelt's phone number?

The practice phone number listed in the NPPES registry for Kenny Roosevelt is (628) 754-9216.

Is Kenny Roosevelt's NPI active?

Yes — Kenny Roosevelt's NPI (1710703087) is active in the NPPES registry as of the last update on 2024-12-02.

IndividualActive

Kenny Roosevelt, N/A

NPI 1710703087 · Specialist · San Francisco, CA

Kenny Roosevelt, N/A is a Specialist provider in San Francisco, CA (NPI 1710703087).

Provider details

NPI number: 1710703087
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: N/A
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

SpecialistPrimary174400000X
Other Service Providers

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1380 Howard St Fl 2

San Francisco, CA 94103-2649

Phone: (628) 754-9216

Street-level locationGet directions

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Mailing address