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Individual

DR. KENNETH ARMISTICE MARRIOTT III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
30 WATERS EDGE WAY, SAN ANTONIO, TX 78248-1021
(210) 305-3505

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101236229
VA
207P00000X
Emergency Medicine Physician
Primary
N8121
TX

Other

Enumeration date
10/03/2005
Last updated
10/17/2025
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