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Search › Texas › 363A00000X

Justin Kennedy, PA-C

NPI 1528415767 · on the registry since 2016

Practice

Address
2020 W St Hwy 114
Suite 120
Grapevine, TX 76051
Phone
(817) 912-8300
Fax
(817) 912-8310
Organisation at this address
Baylor Regional Medical Center At Grapevine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas