Individual
DR. ALEXANDER KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6800 N MACARTHUR BLVD, IRVING, TX 75039-2422
(972) 758-3598
Mailing address
PO BOX 201606, DALLAS, TX 75320-1606
(972) 758-3598
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L8758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167719701
—
TX
05
—
167719702
—
TX
01
—
8J1773
BCBS
TX
01
—
8M6229
BCBS
TX
01
—
P00203785
RAILROAD
TX
Enumeration date
12/19/2005
Last updated
12/09/2009
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