Individual
COLLEEN I KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4450 TUBBS RD, ROCKWALL, TX 75032-6308
(214) 775-1356
(214) 613-2231
Mailing address
4450 TUBBS RD, ROCKWALL, TX 75032-6308
(214) 775-1356
(214) 613-2231
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M7325
TX
208600000X
Surgery Physician
MD.15581R
LA
Other
Enumeration date
07/05/2006
Last updated
08/23/2024
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