Individual
MARK ALLEN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2351 G RD, GRAND JUNCTION, CO 81505-9641
(512) 413-9888
Mailing address
122 BENCHMARK ST, GEORGETOWN, TX 78626-4530
(512) 413-9888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0067444
CO
Other
Enumeration date
03/20/2019
Last updated
06/13/2022
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