KENNETH M. LYSSY JR MD PA NPI 1205039559

NPI Information

KENNETH M. LYSSY JR MD PA is a family medicine in San Antonio, TX. The provider is 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. KENNETH M. LYSSY JR MD PA NPI is 1205039559. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dr Kenneth M Lyssy Jr Md.

The provider's business location address is:

6100 BANDERA RD
SUITE 403
SAN ANTONIO, TX
ZIP 78238-652
Phone: (210) 256-9500
Fax: (210) 256-8720

The provider's authorized official is Melissa Souhrada .
The authorized official title is Office Manager and has the following contact phone number (210) 256-9500.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 7/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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