Individual
DR. PAUL ALEXANDER KENNEDY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6200 SARATOGA BLVD, CORPUS CHRISTI, TX 78414-3421
(361) 992-9500
(361) 992-1862
Mailing address
6200 SARATOGA BLVD, CORPUS CHRISTI, TX 78414-3421
(361) 992-9500
(361) 992-1862
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20778
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159672801
—
TX
Enumeration date
07/12/2006
Last updated
12/15/2021
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