Individual
ADEAN AUDACE KINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4514 COLE AVE STE 910, DALLAS, TX 75205-4176
(214) 420-3376
Mailing address
4514 COLE AVE STE 910, DALLAS, TX 75205-4176
(214) 420-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
N0170
TX
Other
Enumeration date
02/13/2007
Last updated
01/29/2020
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