# KENNARD ISD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922341395
- **Authorized official:** MR. DAVID BAXTER (SUPERINTENDENT)
- **Authorized official phone:** (936) 655-2161

## Contact information

- **Practice address:** 304 HIGHWAY 7 E, KENNARD, TX 75847-5627
- **Practice address phone:** (936) 655-2161
- **Mailing address:** 304 HIGHWAY 7 E, KENNARD, TX 75847-5627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2013
- **Last updated:** 04/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 751456089 | — | TX |