Individual
DR. KENNETH PODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6560 FANNIN ST STE 802, HOUSTON, TX 77030-2726
(713) 441-3780
(713) 790-6468
Mailing address
6560 FANNIN ST STE 1840, HOUSTON, TX 77030-2734
(713) 441-3780
(713) 790-6468
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
36351
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310963902
—
TX
01
—
7509104450
BLUE CROSS-BLUE CROSS
—
01
—
KP010294
COMMERCIAL-COMMERCIAL NUMBER
—
05
—
PHD888810
—
MI
Enumeration date
01/08/2007
Last updated
03/16/2025
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