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NPI Code Detail

MEDICARE: KENNEDY COLLINS

MEDICARE: KENNEDY COLLINS
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
1101YP2500XProfessional Counselor91929TX

General Provider Information

NPI Number : 1376483891
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNEDY COLLINS
Provider Business Mailing Address
First Line : 11777 KATY FWY STE 350
Second Line :
City : HOUSTON
State : TX
Zip : 77079-1721
Country : US
Telephone Number : 713-365-0700
Fax Number :
Provider Business Practice Location Address
First Line : 11777 KATY FWY STE 350
Second Line :
City : HOUSTON
State : TX
Zip : 77079-1721
Country : US
Telephone Number : 713-365-0700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2026
Last Update Date : 04/01/2026

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Directions to “ KENNEDY COLLINS ” Practice Location

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