Kennerly, Donald A

Kennerly, Donald A is an individual health care provider with primary practice located at 4004 Worth St Suite 300, Dallas TX 75246-1600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Kennerly, Donald A can be contacted via phone (214) 820-3500.

Contact Information

Primary practice address
4004 Worth St Suite 300 Dallas TX 75246-1600
Phone: (214) 820-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X G6190 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G6190 Texas

Profile Details

NPI number 1538124763
LBN Legal business name Kennerly, Donald A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 8th, 2007 - about 18 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 1538124763 NPPES
Texas Other 81941G BC/BS

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