Individual
KENNETH E DORSEY
Active
Individual
KENNETH E DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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