Kennedy, Bruce David
Kennedy, Bruce David is an individual health care provider with primary practice located at 1215 E Court St , Seguin TX 78155-5129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kennedy, Bruce David can be contacted via phone (830) 379-5867.Contact Information
Primary practice address
1215 E Court St
Seguin TX 78155-5129
Phone: (830) 379-5867
Fax: (830) 401-4035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | K2049 | Texas |
Profile Details
| NPI number | 1386627461 |
|---|---|
| LBN Legal business name | Kennedy, Bruce David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Nov 3rd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386627461 | NPPES |
| Texas | MEDICAID | 1061608-02 |
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