# KENNETH R DORITY DO PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Occupational Health Source
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689847014
- **Authorized official:** DR. KENNETH DORITY DO (PRESIDENT/ PHYSICIAN)
- **Authorized official phone:** (214) 349-7440

## Contact information

- **Practice address:** 8414 FLOWER MEADOW DR, DALLAS, TX 75243-7424
- **Practice address phone:** (214) 349-7440
- **Mailing address:** 8414 FLOWER MEADOW DR, DALLAS, TX 75243-7424
- **Mailing address phone:** (214) 349-7440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | K0722 | TX | Yes |

## Other

- **Enumeration date:** 04/07/2008
- **Last updated:** 04/07/2008