JUSTIN MICHAEL KENNEDY

GRAPEVINE, TX
NPI1528415767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2016-05-18
Last Update Date2016-08-21
Business Address
-- JUSTIN MICHAEL KENNEDY PA-C
2020 W ST HWY 114 SUITE 120
GRAPEVINE, TX 76051-8649
Phone number: 817-912-8300
Mailing Address
-- JUSTIN MICHAEL KENNEDY PA-C
5845 PINEBROOK DR
THE COLONY, TX 75056-3859
Phone number: 817-845-5114