Individual
BAILEY R KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1120 FM 1189 STE 106, MILLSAP, TX 76066-3546
(817) 406-2996
Mailing address
1120 FM 1189 STE 106-107, MILLSAP, TX 76066-3545
(817) 406-2996
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9669T
TX
Other
Enumeration date
06/10/2019
Last updated
02/02/2026
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