Individual
DR. KENNETH B WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8416 OLD MCGREGOR RD, WOODWAY, TX 76712-6499
(254) 307-3997
(254) 300-9935
Mailing address
7030 BANNISTER CIRCLE, MCGREGOR, TX 76657
(949) 326-6615
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V4775
TX
Other
Enumeration date
07/11/2010
Last updated
09/17/2025
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