Search › California › 106H00000X
Kenneth Udo
NPI 1477033223 · on the registry since 2018
Practice
- Address
- 345 E Travis Blvd
Fairfield, CA 94533 - Phone
- (800) 249-4961
- Organisation at this address
- Bay Area Community Services, Inc.
Bay Area Community Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 1234 Empire St Ste 1500, Fairfield, CA
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 390200000X
106S00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California