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Organization

KENNETH ARCHER MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH ARCHER (CEO)
(817) 691-8711
Entity
Organization

Contact information

Practice address
1016 BOURLAND RD, KELLER, TX 76248-3925
(817) 691-8711
Mailing address
PO BOX 2077, KELLER, TX 76244-2077

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
08/22/2023
Last updated
08/22/2023
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