Individual
LESLIE A KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3201 W HIGHWAY 22, CORSICANA, TX 75110-2450
(903) 654-6822
(903) 872-1132
Mailing address
5655 HUDSON DR STE 210, ARIS RADIOLOGY, HUDSON, OH 44236-4455
(330) 655-1869
(330) 655-3828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F3517
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081402201
—
TX
Enumeration date
10/26/2005
Last updated
11/09/2016
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