Individual provider · Type 1 NPI

Alexis O. Kennedy, PNP

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1053408930 Active

Practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Fax (214) 456-6133

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X684697 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1053408930

Alexis O. Kennedy, PNP's National Provider Identifier is 1053408930, issued on Oct 10, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Mar 19, 2009.