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Cassandra Kenny is one of 43 physician assistants practicing in Granbury, Texas .
Cassandra Kenny practices with Oliver Street 5.01(A) Inc.
Registry record (NPPES)
NPI
1386181048
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
2001 Rockview Dr Granbury, TX 76049-5711 (682) 529-7800
Enumerated
Jan 19, 2017
Record last updated
Oct 13, 2022
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1314 Paluxy Rd
Granbury , TX 76048
(682) 529-7800
1367 Dominion Plz
Tyler , TX 75703
(903) 534-6200
More physician assistants in Granbury
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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