Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth M. Lyssy Jr MD PA

Organization Family Medicine Physician · NPI 1205039559

Kenneth M. Lyssy Jr MD PA provides Family Medicine Physician services in San Antonio, Texas. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6100 Bandera Rd Ste 403
San Antonio, TX 78238-1652 Not confirmed with CMS for 18 years — call before visiting
Phone: (210) 256-9500
Fax: (210) 256-8720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1205039559
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Souhrada — Office Manager · (210) 256-9500
Other names Dr Kenneth M Lyssy Jr Md
NPI enumeratedJune 6, 2007
Last updated in NPPESJuly 2, 2008
Mailing address6100 Bandera, 403, San Antonio, TX 78238-1653

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