COLLEEN I. KENNEDY, MD, PA
Radiology in Dallas, TX

License number
Texas M7325
Category
Radiology
Type
Surgery
Owner
Name: DR. COLLEEN KENNEDY MD
Title: PRESIDENT
Phone: (214) 775-1356
Address
Address
221 W Colorado Blvd Pavilion Ii SUITE 945, Dallas, TX 75208
National Provider ID: 1033448295
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COLLEEN I. KENNEDY, M.D., PA

6540 Vanderbilt Ave, Dallas, TX 75214

Industry:
Medical Doctor's Office
Doing business as:
Colleen I'. Kennedy, M.D., PA<br>Colleen I’. Kennedy, M.D., PA
Registration:
Nov 18, 2009
State ID:
0801196135
Business type:
Professional Association
Member, Executive Committee, Secretary, Treasurer, Vice-President, President:
Colleen I. Kennedy (Member, Executive Committee, Secretary, Treasurer, Vice-President, President)
Agent:
Colleen Kennedy,1309 Rdg Rd SUITE 109, Rockwall, TX 75087 (Physical)
TIN:
32040708060

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