Organization
HIGH PLAINS EAR NOSE & THROAT ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE KENNEDY MD (DOCTOR)
(806) 355-8293
Entity
Organization
Contact information
Practice address
5211 W 9TH, #104, AMARILLO, TX 79106-4149
(806) 355-8293
(806) 355-7298
Mailing address
5211 W 9TH, #104, AMARILLO, TX 79106-4149
(806) 355-8293
(806) 355-7298
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K0325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00307W
MEDICARE GROUP
TX
01
—
0031LC
BCBS GROUP
TX
01
—
8M1200
BCBS UPIN
TX
01
—
DB3415
RAILROAD MEDICARE GROUP
TX
01
—
P00098823
RAILROAD MEDICARE UPIN
TX
Enumeration date
04/02/2007
Last updated
10/21/2008
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