Individual
DR. GARRY JAMES KENNEBREW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5005 N PIEDRAS ST, ATTN: DEM, EL PASO, TX 79920
(708) 552-6626
Mailing address
7360 GULF CREEK DR, EL PASO, TX 79911-3032
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27496
NE
207P00000X
Emergency Medicine Physician
R8923
TX
Other
Enumeration date
02/28/2012
Last updated
06/16/2020
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