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Individual

PATRICK L. KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6601 PRESTON RD, PLANO, TX 75024-2502
(469) 326-3400
(469) 326-3499
Mailing address
6601 PRESTON RD, PLANO, TX 75024-2502
(469) 326-3400
(469) 326-3499

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F6816
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01166649
RAILROAD MEDICARE
TX
Enumeration date
05/04/2006
Last updated
06/10/2013
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