Individual
DR. KENNETH LEE ORTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14301 LAKE ROAD WEST, TYLER, TX 75709-7325
(903) 561-8860
Mailing address
14301 LAKE ROAD WEST, TYLER, TX 75709-7325
(903) 561-8860
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D2704
TX
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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