Individual
BRYAN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2829 BABCOCK RD STE 500, SAN ANTONIO, TX 78229-6028
(210) 705-5600
(210) 692-1829
Mailing address
2102 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8736
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10049390
TX
207R00000X
Internal Medicine Physician
Primary
R1559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285684225
GROUP NPI
—
Enumeration date
05/15/2014
Last updated
09/19/2024
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