Charles D. Kennard Md Pa

NPI 1093916785 - Medical Genetics, Ph.D. Medical Genetics - 170100000X

NPI Details
NPI 1093916785
Enumeration Date 05/30/2007
Last Updated 07/13/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES D CHARLES
Position PRESIDENT
Phone (817) 460-4444
Fax (817) 460-8844
Practice Location
811 INTERSTATE 20 W SUITE G14
ARLINGTON TX, 76017, US
Phone (817) 460-4444
Fax (817) 460-8844
Business Location
811 INTERSTATE 20 W SUITE G14
ARLINGTON TX, 76017-5870, US
Phone (817) 460-4444
Fax (817) 460-8844
Toxanomy
Taxonomy Code 170100000X
License State Texas
License Number MDK0086
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According to our database, Charles D. Kennard Md Pa NPI is 1093916785, taxonomy code is 170100000X and license number is MDK0086, license state is located at Texas. Charles D. Kennard Md Pa physically located at 811 Interstate 20 W Suite G14, Arlington TX, 76017. NPI Number 1033115704 has the healthcare provider type.

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1093916785 NPI number is provided on an as is basis without warranty of any kind. 1093916785 is maintained by the National Plan & Provider Enumeration System. The contents of Charles D. Kennard Md Pa are for informational purposes only.