Individual
DR. JAN ELIZABETH KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-7014
(210) 916-3494
Mailing address
15530 ELM PARK ST, SAN ANTONIO, TX 78247-2905
(210) 396-9366
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
24866
TX
Other
Enumeration date
01/05/2006
Last updated
01/10/2020
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