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KENNETH R DORITY DO PA NPI 1689847014


NPI Information

NPI: 1689847014
Provider Name: KENNETH R DORITY DO PA

Doing Business As: OCCUPATIONAL HEALTH SOURCE

Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
8414 FLOWER MEADOW DR
DALLAS, TX
ZIP 75243
Phone: (214) 349-7440
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KENNETH R DORITY DO PA is an adult medicine family medicine in Dallas, TX. The provider is definition to come. KENNETH R DORITY DO PA NPI is 1689847014. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Occupational Health Source.

The provider's business location address is:

8414 FLOWER MEADOW DR
DALLAS, TX
ZIP 75243-424
Phone: (214) 349-7440

The provider's authorized official is Kenneth Dority .
The authorized official title is President/ Physician and has the following contact phone number (214) 349-7440.

The enumeration date for this NPI number is 4/7/2008 and was last updated on 4/7/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineK0722TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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