Individual
ERIN MARIE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3203 BROADWAY ST, PEARLAND, TX 77581-1414
(281) 485-8876
Mailing address
909 FROSTWOOD DR, SUITE 1.100, HOUSTON, TX 77024-2301
(713) 338-4523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3915
TX
208000000X
Pediatrics Physician
K3915
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154523801
—
TX
Enumeration date
07/29/2005
Last updated
06/02/2015
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