Hart, Kenneth R
Hart, Kenneth R is an sole proprietor health care provider with primary practice located at 5101 Medical Drive , San Antonio TX 78229-4801. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Hart, Kenneth R can be contacted via phone (210) 592-5349.Contact Information
Primary practice address
5101 Medical Drive
San Antonio TX 78229-4801
Phone: (210) 592-5349
Fax: (210) 592-5462
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | F8504 | Texas |
Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | F8504 | Texas |
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | F8504 | Texas |
Profile Details
NPI number | 1003998071 |
---|---|
LBN Legal business name | Hart, Kenneth R |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 19th, 2006 |
Last updated | Jul 16th, 2015 - about 10 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 | 1003998071 | NPPES |
Texas | MEDICAID | 081285101 | |
Texas | MEDICAID | 081285102 | |
Texas | MEDICAID | 132637302 |
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