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Individual

KENNETH P. CARLSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
3125 MATLOCK RD, SUITE 108, ARLINGTON, TX 76015-2920
(817) 468-3911
(817) 468-0374
Mailing address
3125 MATLOCK RD, SUITE 108, ARLINGTON, TX 76015-2920
(817) 468-3911
(817) 468-0374

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E9141
TX

Other

Enumeration date
06/02/2006
Last updated
07/08/2007
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