Individual
DR. LISA C TAYLOR-KENNEDY
Active
Individual
DR. LISA C TAYLOR-KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J2989
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
J2989
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0427247-04
—
TX
05
—
0427247-05
—
TX
01
—
1699786210
NPI
TX
01
—
8AM081
BCBS
TX
Enumeration date
11/01/2007
Last updated
03/09/2009
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