Individual
KENNETH DALE GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1113 LONGWORTH DR, PLANO, TX 75075-8329
(972) 867-9729
(972) 867-9722
Mailing address
1113 LONGWORTH DR, PLANO, TX 75075-8329
(972) 867-9729
(972) 867-9722
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
8491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605282
BCBS
TX
Enumeration date
08/24/2006
Last updated
07/08/2007
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