Individual
DR. BRUCE DAVID KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 E COURT ST, SEGUIN, TX 78155-5129
(830) 379-5867
(830) 401-4035
Mailing address
1215 E COURT ST, SEGUIN, TX 78155-5129
(830) 379-5867
(830) 401-4035
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K2049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1061608-02
—
TX
Enumeration date
11/22/2005
Last updated
11/03/2021
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