Individual
CASSANDRA LAYNE KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2001 ROCKVIEW DR, GRANBURY, TX 76049-5711
(682) 529-7800
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11056
TX
Other
Enumeration date
01/19/2017
Last updated
10/13/2022
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