Archer, Kenneth Dean
Archer, Kenneth Dean is an individual health care provider with primary practice located at 8479 Davis Blvd Ste 300 , North Richland Hills TX 76182-8604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Archer, Kenneth Dean can be contacted via phone (817) 479-3818.Contact Information
Primary practice address
8479 Davis Blvd Ste 300
North Richland Hills TX 76182-8604
Phone: (817) 479-3818
Fax: (817) 479-3884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L7965 | Texas |
Profile Details
| NPI number | 1083654123 |
|---|---|
| LBN Legal business name | Archer, Kenneth Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Oct 20th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083654123 | NPPES |
| Texas | Other | PENDING | BCBS |
| Texas | MEDICAID | PENDING | BCBS |
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