Organization
LISA TAYLOR-KENNEDY MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA TAYLOR-KENNEDY MD (OWNER/PHYSICIAN)
(214) 443-1231
Entity
Organization
Contact information
Practice address
14902 PRESTON RD, SUITE 404-745, DALLAS, TX 75254-9191
(214) 443-1240
Mailing address
PO BOX 112, MUNCIE, IN 47308-0112
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
04/27/2015
Last updated
04/28/2015
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