Individual
KENDALL DSHEA BANNOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28918 YORK BEACH LN, KATY, TX 77494-5596
(325) 215-9227
Mailing address
28918 YORK BEACH LN, KATY, TX 77494-5596
(325) 215-9227
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
RBT-21-189541
TX
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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