DR. Charles Kennedy JR., MD

NPI #1124455985 in Fair Oak Ranch, Texas

Provider Information

NPI Number
1124455985
Entity Type
Individual
Name
DR. Charles Kennedy JR., MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
MD
Enumeration Date
Oct 10, 2013
Last Updated
Oct 10, 2013

Practice Location

Address
8454 NORTHVIEW PASS
State
Texas
ZIP Code
78015
Phone
(361) 537-9671

Specialties & Taxonomy Codes

Specialty
Specialist

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