Cook, Kenneth R.

Cook, Kenneth R. is an individual health care provider with primary practice located at 1812 S Alameda St , Corpus Christi TX 78404-2933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cook, Kenneth R. can be contacted via phone (361) 561-3100.

Contact Information

Primary practice address
1812 S Alameda St Corpus Christi TX 78404-2933
Phone: (361) 561-3100
Fax: (361) 561-3185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X H2055 Texas

Profile Details

NPI number 1881699601
LBN Legal business name Cook, Kenneth R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Mar 13th, 2017 - about 7 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 1881699601 NPPES
Texas MEDICAID 1253916-01

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