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Individual

DR. DONALD A KENNERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4004 WORTH ST, SUITE 300, DALLAS, TX 75246-1600
(214) 820-3500
Mailing address
8080 N CENTRAL EXPY, SUITE 1650, DALLAS, TX 75206-1838
(972) 860-8648

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
G6190
TX
207R00000X
Internal Medicine Physician
Primary
G6190
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
81941G
BC/BS
TX
Enumeration date
04/19/2006
Last updated
09/11/2025
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