MR. Michael Arthur Kennedy, PA-C

NPI #1245391473 in Pottsboro, Texas

Provider Information

NPI Number
1245391473
Entity Type
Individual
Name
MR. Michael Arthur Kennedy, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Dec 12, 2006
Last Updated
Feb 19, 2009

Practice Location

Address
111 E HWY 120
Address 2
STE. 104
State
Texas
ZIP Code
75076-3008
Phone
(903) 786-3911

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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