Individual
KENNETH E DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 MEYERLAND PLAZA MALL, HOUSTON, TX 77096-1615
(713) 442-1615
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
K1811
TX
207NS0135X
Procedural Dermatology Physician
K1811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102504101
—
TX
05
—
102504104
—
TX
05
—
102504106
—
TX
Enumeration date
10/05/2006
Last updated
06/07/2021
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