Individual
JEFFREY MILLER KENKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 INWOOD RD, 5TH FLOOR, DALLAS, TX 75390-9132
(214) 645-3112
(214) 645-3105
Mailing address
1801 INWOOD RD, 5TH FLOOR, DALLAS, TX 75390-7202
(214) 645-3112
(214) 645-3105
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
K0861
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045095901
—
TX
Enumeration date
07/03/2006
Last updated
04/24/2017
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