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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023087434 | NPPES |
| Texas | MEDICAID | 121379506 | |
| Texas | MEDICAID | 121379505 | |
| Texas | MEDICAID | 1213379507 |
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