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KER ROCK ISLAND PLLC NPI 1861031783


NPI Information

NPI: 1861031783
Provider Name: KER ROCK ISLAND, PLLC
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Organization

Specialization: Clinical Neurophysiology

Address:
15950 DALLAS PKWY STE 400
DALLAS, TX
ZIP 75248
Phone: (469) 334-4307
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KER ROCK ISLAND, PLLC is a clinical neurophysiology psychiatry neurology in Dallas, TX. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). KER ROCK ISLAND, PLLC NPI is 1861031783. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

15950 DALLAS PKWY STE 400
DALLAS, TX
ZIP 75248-628
Phone: (469) 334-4307

The provider's authorized official is Felicia Alderete .
The authorized official title is Legal Operations Manager and has the following contact phone number (210) 598-2801.

The enumeration date for this NPI number is 12/23/2019 and was last updated on 5/12/2021.


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
1204R00000XElectrodiagnostic MedicineNo
22084N0400XPsychiatry & NeurologyNeurologyNo
32084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes
4246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticNo

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: 4/28/2024

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