Individual provider · Type 1 NPI

Maegen Ricki Kennedy, PA-C

Medical Physician Assistant · Austin, TX

NPI number 1801165485 Active

Practice location

4107 South Captial Texas Hwy Suite 100A
Austin, TX 78704

Call (512) 443-9355 Map

Mailing address

300 West Ave Apt 1327
Austin, TX 78701

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA07534 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1801165485

Maegen Ricki Kennedy, PA-C's National Provider Identifier is 1801165485, issued on Dec 28, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Austin, TX. The record was last updated on Dec 28, 2011.