Individual
W KENNETH LINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7101 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78412-4913
(361) 980-0079
(361) 985-3421
Mailing address
PO BOX 3758, CORPUS CHRISTI, TX 78463-3758
(361) 980-0077
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
J8299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101459902
—
TX
Enumeration date
07/07/2005
Last updated
06/18/2015
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