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Individual

DR. JOHN C KEDORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
621 N HALL ST, STE 100, DALLAS, TX 75226-1339
(214) 821-9600
(214) 823-5449
Mailing address
621 N HALL ST, STE 100, DALLAS, TX 75226-1339
(214) 821-9600
(214) 823-5449

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
M6692
TX
2086S0129X
Vascular Surgery Physician
Primary
M6692
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M6692
STATE LICENSE
TX
Enumeration date
05/22/2007
Last updated
09/01/2022
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