Lisa A Kennedy, Rd Llc

Specialty details in registry · Nacogdoches, TX

Call (936) 628-9123 Directions

At a glance

4635 Ne Stallings Dr Ste 104, Nacogdoches, TX 75965-1667

NPPES record updated Aug 26, 2018. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

4635 Ne Stallings Dr Ste 104
Nacogdoches, TX 75965-1667
Professional details: NPI, taxonomy & registry record
NPI1861973091
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
133V00000X
Enumeration date
Aug 26, 2018
Record updated
Aug 26, 2018
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

133V00000X · Primary

License reported: DT07616 TX

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4635 Ne Stallings Dr Ste 104
Nacogdoches, TX 75965-1667
Phone
(936) 628-9123
Mailing address
PO BOX 538

ETOILE, TX 759440538
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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