Individual
BRYAN KENNEDY
Active
Individual
BRYAN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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
Update your record
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