person
Justin Michael Kennedy, PA-C
Medical Physician Assistant in Grapevine, Texas
NPI 1528415767

Justin Michael Kennedy is a Medical Physician Assistant based in The Colony, TX and is specialized in Medical. Justin Michael Kennedy practices in Grapevine, TX and has the professional credentials of PA-C. The NPI Number for Justin Michael Kennedy is 1528415767 and holds a License No. (Texas).

The current practice location address for Justin Michael Kennedy is 2020 W St Hwy 114, Grapevine, TX and can be reached out via phone at 817-912-8300 and via fax at 817-912-8310.

Location: 2020 W St Hwy 114, Grapevine, TX, 75056-3859
person
Provider Profile Details
NPI Number
1528415767
Provider Name
Justin Michael Kennedy
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2020 W St Hwy 114, Grapevine, TX, 75056-3859
Phone Number
817-912-8300
Fax Number
817-912-8310
Provider Enumeration Date
05/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2020 W St Hwy 114
City
State
Zip
76051-8649
Phone Number
817-912-8300
Fax Number
817-912-8310
person
Provider Business Mailing Address Details
Address
2020 W St Hwy 114
City
State
Zip
76051-8649
Phone Number
817-912-8300
Fax Number
817-912-8310
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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