Individual
KENNETH E QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN SA-C
Contact information
Practice address
224 E 2ND ST, DUMAS, TX 79029-3808
(806) 935-7171
(806) 935-9702
Mailing address
101 BELLAIRE AVE, DUMAS, TX 79029-3321
(806) 338-1228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1203737
TX
246ZC0007X
Surgical Assistant
20-226
TX
Other
Enumeration date
06/09/2020
Last updated
09/04/2025
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