Individual
KENNETH PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6550 FANNIN ST, SUITE 2600, HOUSTON, TX 77030-2717
(713) 790-1818
(713) 790-7500
Mailing address
6550 FANNIN ST, SUITE 2600, HOUSTON, TX 77030-2717
(713) 790-1818
(713) 790-7500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J6199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286361501
—
TX
05
—
286361502
—
TX
05
—
286361505
—
TX
01
—
8FE212
BLUE CROSS BLUE SHIELD
TX
01
—
8FX344
BLUE CROSS BLUE SHIELD
TX
01
—
P00923494
RR MEDICARE
—
Enumeration date
07/31/2006
Last updated
08/15/2016
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