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LESLIE A KENNEDY MD PA NPI 1609834860


NPI Information

NPI: 1609834860
Provider Name: LESLIE A KENNEDY MD PA
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3201 W HIGHWAY 22
CORSICANA, TX
ZIP 75110
Phone: (903) 654-6822
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LESLIE A KENNEDY MD PA is a diagnostic radiology radiology in Corsicana, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. LESLIE A KENNEDY MD PA NPI is 1609834860. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3201 W HIGHWAY 22
CORSICANA, TX
ZIP 75110-450
Phone: (903) 654-6822

The provider's authorized official is Leslie Ann Kennedy .
The authorized official title is President and has the following contact phone number (903) 874-5512.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyF3517TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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