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DR KENNETH M LYSSY JR MD
NPI 1205039559
Family Medicine in San Antonio, TX

Active since June 06, 2007
6100 BANDERA RD, SUITE 403, SAN ANTONIO, TX 78238(210) 256-9500(210) 256-8720 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr Kenneth M Lyssy Jr Md NPPES

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

DR KENNETH M LYSSY JR MD (NPI 1205039559) is a healthcare organization registered as a family medicine in San Antonio, Texas and active in the NPI registry since June 2007. The organization lists Melissa Souhrada, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205039559
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKENNETH M. LYSSY JR MD PA
Location Address6100 BANDERA RD, SUITE 403San Antonio, TX 78238-1652
Mailing Address6100 Bandera, # 403San Antonio, TX 78238-1653 · (210) 256-9500 · Fax (210) 256-8720
Phone(210) 256-9500
Fax(210) 256-8720
Organization SubpartNo
Authorized OfficialMelissa SouhradaOffice Manager · (210) 256-9500
Enumeration DateJune 6, 2007
Last NPPES UpdateJuly 2, 2008
✔ NPI 1205039559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6100 BANDERA RD, San Antonio, TX 78238
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Other Names 1

Other NameDr Kenneth M Lyssy Jr Md

Other Identifiers 3

Other00Z062TX · Medicare Group Ptan
Medicare UPINE95485TX
Other00Z062TX · Medicare Individual Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH M LYSSY JR. M.D.
Family Medicine
6100 BANDERA RD, 403
SAN ANTONIO, TX 78238
Bexar County (210) 256-9500
PAIN & NEUROMUSCULAR CLINIC OF TEXAS , P.A.
Specialist
6100 BANDERA RD, 710
SAN ANTONIO, TX 78238
Bexar County (210) 826-2311
LAWRENCE PAUL DIMICELI DDS
Dentist
6100 BANDERA RD, STE 300
SAN ANTONIO, TX 78238
Bexar County (210) 680-1618
DR. KATHLEEN JANE LYSSY M.D.
Internal Medicine
6100 BANDERA RD, 403
SAN ANTONIO, TX 78238
Bexar County (210) 256-9500
MR. PRAFUL R MEHTA M.D.
Internal Medicine
6100 BANDERA RD, SUITE 710
SAN ANTONIO, TX 78238
Bexar County (210) 523-9800

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 Kenneth M. Lyssy Jr MD PA's NPI number?

The NPI number for Kenneth M. Lyssy Jr MD PA is 1205039559. It was assigned to this organization in the NPPES registry on June 6, 2007. The provider is also known as Dr Kenneth M Lyssy Jr MD.

Where is Kenneth M. Lyssy Jr MD PA located?

Kenneth M. Lyssy Jr MD PA is located at 6100 Bandera Rd Suite 403, San Antonio, TX 78238. The listed phone number is (210) 256-9500.

What is Kenneth M. Lyssy Jr MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth M. Lyssy Jr MD PA was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.