Individual
MS. DANI B KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1250
(409) 744-4030
(409) 740-4187
Mailing address
2600 FM 1764 RD, STE 190, LA MARQUE, TX 77568-2826
(409) 744-4030
(409) 740-4187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
851N99
BCBSTX
TX
Enumeration date
03/12/2009
Last updated
01/10/2023
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