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Individual
DR. KENNETH RONALD DORITY
Active
Individual
DR. KENNETH RONALD DORITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0722
TX
207QA0401X
Addiction Medicine (Family Medicine) Physician
K0722
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
K0722
TX
2083X0100X
Occupational Medicine Physician
K0722
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146888602
—
TX
01
—
8R6745
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/10/2006
Last updated
08/25/2022
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