Individual
KENNY NIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5656 KELLEY ST STE 3OS62008, HOUSTON, TX 77026-1967
(713) 566-5098
(713) 566-4583
Mailing address
601 PATTON BLVD APT 152, PLANO, TX 75075-8923
(713) 291-5611
(801) 823-0768
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
T1793
TX
Other
Enumeration date
02/01/2016
Last updated
06/13/2025
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