Individual
AUTUMN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5656 KELLEY ST # 1EC1347, HOUSTON, TX 77026-1975
(713) 566-5100
Mailing address
6431 FANNIN ST, JJL 270, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20000
TX
Other
Enumeration date
02/18/2026
Last updated
03/12/2026
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