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NPI Code Detail

MEDICARE: KENNEDY BRIANNE BRAKEBILL PHARMD

MEDICARE: KENNEDY BRIANNE BRAKEBILL PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist60658TX

General Provider Information

NPI Number : 1184573891
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNEDY BRIANNE BRAKEBILL PHARMD
Provider Business Mailing Address
First Line : 6109 CARROLL GARDENS DR
Second Line :
City : AMARILLO
State : TX
Zip : 79119-1443
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1501 S COULTER ST
Second Line :
City : AMARILLO
State : TX
Zip : 79106-1770
Country : US
Telephone Number : 806-354-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ KENNEDY BRIANNE BRAKEBILL PHARMD” Practice Location

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