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Contact Information

GARRY J KENNEBREW JR, MD
5005 N PIEDRAS ST
ATTN: DEM
EL PASO, TX79920
 Phone: 708-552-6626
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GARRY J KENNEBREW JR · (Male)

NPI # 1255605952
Status Active
Credentials MD
Entity Individual
Enumeration date 02/28/2012
Last updated 06/16/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 27496
  • TX License # R8923
Hospital affiliation(s)
  • SIERRA PROVIDENCE EAST MEDICAL CENTER - (Acute Care)
    3280 JOE BATTLE BLVD
    EL PASO, TX 79938
  • UNIVERSITY MEDICAL CENTER - (Acute Care)
    602 INDIANA AVENUE
    LUBBOCK, TX 79415
  • UNIVERSITY MEDICAL CENTER OF EL PASO - (Acute Care)
    4815 ALAMEDA AVE
    EL PASO, TX 79905
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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