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1528415767
JUSTIN MICHAEL KENNEDY
GRAPEVINE, TX
NPI
1528415767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2016-05-18
Last Update Date
2016-08-21
Business Address
-- JUSTIN MICHAEL KENNEDY PA-C
2020 W ST HWY 114 SUITE 120
GRAPEVINE, TX 76051-8649
Phone number: 817-912-8300
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Mailing Address
-- JUSTIN MICHAEL KENNEDY PA-C
5845 PINEBROOK DR
THE COLONY, TX 75056-3859
Phone number: 817-845-5114
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