Bernal, Kenneth R

Bernal, Kenneth R is an individual health care provider with primary practice located at 2265 N Lakeshore Dr Ste 101 , Rockwall TX 75087-3210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bernal, Kenneth R can be contacted via phone (972) 771-2500.

Contact Information

Primary practice address
2265 N Lakeshore Dr Ste 101 Rockwall TX 75087-3210
Phone: (972) 771-2500
Fax: (972) 722-4550
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H2245 Texas

Profile Details

NPI number 1023087434
LBN Legal business name Bernal, Kenneth R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Nov 20th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023087434 NPPES
Texas MEDICAID 121379506
Texas MEDICAID 121379505
Texas MEDICAID 1213379507

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