Organization
CITY OF KENNEDALE
Active
Other names
Kennedale Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC PETERSON (CHIEF)
(817) 985-2151
Entity
Organization
Contact information
Practice address
100 CLOVER LN, KENNEDALE, TX 76060-2632
(817) 561-2237
(817) 561-2183
Mailing address
405 MUNICIPAL DR, KENNEDALE, TX 76060-2249
(817) 985-2150
(817) 483-0182
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
220046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000158801
—
TX
01
—
507134
BC/BS OF TEXAS
TX
Enumeration date
07/23/2006
Last updated
02/07/2025
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