Individual
CASSANDRA LOUISE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2520 TRIMMIER RD, KILLEEN, TX 76541
(254) 390-9110
Mailing address
1322 S 15TH ST, TEMPLE, TX 76504-7235
(603) 702-2366
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14994
TX
Other
Enumeration date
10/18/2021
Last updated
10/19/2021
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