Individual provider · Type 1 NPI
Michael Arthur Kennedy, PA-C
Medical Physician Assistant · Pottsboro, TX
NPI number
1245391473
Active
Practice location
111 E Hwy 120, Ste. 104
Pottsboro, TX 75076-3008
Mailing address
1038 Addison Ave
Pottsboro, TX 75076-7077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA04828 (TX) |
Medical Physician Assistant: Definition to come...
About NPI 1245391473
Michael Arthur Kennedy, PA-C's National Provider Identifier is 1245391473, issued on Dec 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pottsboro, TX. The record was last updated on Feb 19, 2009.