Alexis Malia Kennedy, MD
Student in an Organized Health Care Education/Training Program in Houston, TX. Individual provider (NPI-1).
NPI number1982307013
StatusActive
Last updated in NPPESMar 27, 2023
Details
- NPI
- 1982307013
- Entity type
- Individual (NPI-1)
- Name
- Alexis Malia Kennedy
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2023
- Certification date
- Mar 26, 2023
- Last updated
- Mar 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1 Baylor Plz # Bcm320Houston, TX 77030-3498
Phone 512-739-1103
Mailing address
902 Quaker Bend DrFriendswood, TX 77546-4090
Phone 512-739-1103
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