IndividualActive
Jason Kennedy, M.D.
NPI 1699912469 · Pediatric Orthopaedic Surgery Physician · Fort Worth, TX
Provider details
- NPI number
- 1699912469
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- N5150 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (682) 885-4405
Fax: (682) 885-4407
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 733784
Dallas, TX 75373-3784
Registry dates
- Enumerated
- 2009-01-14
- Last updated
- 2021-05-07
- Certified
- 2021-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.