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1679517569
SHANE W KENNEDY
FORT WORTH, TX
NPI
1679517569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: TX L6086)
Enumeration Date
2006-06-15
Last Update Date
2021-03-18
Business Address
SHANE W KENNEDY MD
2221 8TH AVE
FORT WORTH, TX 76110-1812
Phone number: 817-336-5060
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Mailing Address
SHANE W KENNEDY MD
2221 8TH AVE
FORT WORTH, TX 76110-1812
Phone number: 817-336-5060
Copy
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