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Dr. Charles William Kennedy IV, MD
General Practice Physician in Jbsa Ft Sam Houston, Texas
NPI 1689329070

Charles William Kennedy IV is a General Practice Physician based in Jbsa Ft Sam Houston, TX. Charles William Kennedy IV practices in Jbsa Ft Sam Houston, TX and has the professional credentials of MD. The NPI Number for Charles William Kennedy IV is 1689329070 and holds a License No. 0101281057 (Texas).

The current practice location address for Charles William Kennedy IV is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX and can be reached out via phone at 210-539-5545.

Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689329070
Provider Name
Charles William Kennedy IV
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 78234-4504
Phone Number
210-539-5545
Fax Number
Provider Enumeration Date
02/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
Jbsa Ft Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-539-5545
Fax Number
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
Jbsa Ft Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-539-5545
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101281057 (Virginia)
Definition
Definition to come...
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