DR. Charles William Kennedy IV, MD

NPI #1689329070 in Jbsa Ft Sam Houston, Texas

Provider Information

NPI Number: 1689329070
Entity Type: Individual
Name: DR. Charles William Kennedy IV, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Feb 15, 2022
Last Updated: Jan 29, 2024

Practice Location

Address: 3551 ROGER BROOKE DR
City: Jbsa Ft Sam Houston
State: Texas
ZIP Code: 78234-4504
Phone: (210) 539-5545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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