| Doctor Name: | SARAH LYNN KENNEDY |
| NPI Number: | 1326186131 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 39020000X |
| Business Practice Address: | 855 Montgomery St Fort Worth, TX - 761072553 |
| Business Phone Number: | 8177352900 |
| Business Fax Number: | |
| Mailing Address: | Po Box 99335, FORT WORTH |
| State: | TX |
| Postal Code: | 761990335 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 06/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 39020000X |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |