Individual
KENNY-BAO TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 SCENIC DR, GEORGETOWN, TX 78626-7726
(512) 942-4700
Mailing address
PO BOX 924, AUSTIN, TX 78767-0924
(512) 942-4700
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
54297
MN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
Q1520
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2010
Last updated
05/13/2021
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