Dority, Kenneth Ronald

Dority, Kenneth Ronald is an individual health care provider with primary practice located at 2912 Kraft St Ste 30 , Arlington TX 76010-5410. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dority, Kenneth Ronald can be contacted via phone (402) 885-0365.

Contact Information

Primary practice address
2912 Kraft St Ste 30 Arlington TX 76010-5410
Phone: (402) 885-0365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X K0722 Texas
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X K0722 Texas
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X K0722 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K0722 Texas

Profile Details

NPI number 1659313328
LBN Legal business name Dority, Kenneth Ronald
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 25th, 2022 - about 3 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 1659313328 NPPES
Texas MEDICAID 146888602
Texas Other 8R6745

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