Organization
CHARLES D. KENNARD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D KENNARD MD (PRESIDENT)
(817) 460-4444
Entity
Organization
Contact information
Practice address
811 INTERSTATE 20 W SUITE G14, ARLINGTON, TX 76017
(817) 460-4444
(817) 460-8844
Mailing address
811 INTERSTATE 20 W SUITE G14, ARLINGTON, TX 76017-5870
(817) 460-4444
(817) 460-8844
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
MDK0086
TX
Other
Enumeration date
05/30/2007
Last updated
07/13/2007
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