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DR. CHARLES KENNEDY JR. MD
NPI 1124455985
Specialist in Fair Oak Ranch, TX

Active since October 10, 2013
8454 NORTHVIEW PASS, FAIR OAK RANCH, TX 78015(361) 537-9671(361) 857-6974 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles Kennedy Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES KENNEDY JR. MD (NPI 1124455985) is an individual specialist in Fair Oak Ranch, Texas, licensed in Texas (MDE 2253) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1124455985
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. CHARLES KENNEDY JR.Credential: MD
Location Address8454 NORTHVIEW PASSFair Oak Ranch, TX 78015
Mailing Address8454 Northview PassFair Oak Ranch, TX 78015 · (361) 537-9671 · Fax (361) 857-6974
Phone(361) 537-9671
Fax(361) 857-6974
Sole ProprietorYes
Enumeration DateOctober 10, 2013
✔ NPI 1124455985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · MDE 2253
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
8454 NORTHVIEW PASS, Fair Oak Ranch, TX 78015
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Kennedy's NPI number?

The NPI number for Charles Kennedy is 1124455985. It was assigned to this individual provider in the NPPES registry on October 10, 2013.

Where is Charles Kennedy located?

Charles Kennedy practices at 8454 Northview Pass, Fair Oak Ranch, TX 78015. The listed phone number is (361) 537-9671.

What is Charles Kennedy's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Charles Kennedy was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.