| NPI | 1205039559 |
|---|---|
| Other Name | DR KENNETH M LYSSY JR MD |
| Entity Type | Organization |
| Authorized Contact | MELISSA SOUHRADA Office Manager 210-256-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2008-07-02 |