Individual
DR. CHARLES KENNEDY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8454 NORTHVIEW PASS, FAIR OAK RANCH, TX 78015
(361) 537-9671
(361) 857-6974
Mailing address
8454 NORTHVIEW PASS, FAIR OAK RANCH, TX 78015
(361) 537-9671
(361) 857-6974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MDE 2253
TX
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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