Individual provider · Type 1 NPI
Charles Kennedy Jr., MD
Specialist · Fair Oak Ranch, TX
NPI number
1124455985
Active
Practice location
8454 Northview Pass
Fair Oak Ranch, TX 78015
Fax (361) 857-6974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MDE 2253 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1124455985
Charles Kennedy Jr., MD's National Provider Identifier is 1124455985, issued on Oct 10, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fair Oak Ranch, TX. The record was last updated on Oct 10, 2013.