Matthews, Kenneth E
Matthews, Kenneth E is an individual health care provider with primary practice located at 1602 Rock Prairie Rd Suite 340, College Station TX 77845-8306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Matthews, Kenneth E can be contacted via phone (979) 696-4440.Contact Information
Primary practice address
1602 Rock Prairie Rd Suite 340
College Station TX 77845-8306
Phone: (979) 696-4440
Fax: (979) 694-8500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D6086 | Texas |
Profile Details
| NPI number | 1013957612 |
|---|---|
| LBN Legal business name | Matthews, Kenneth E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jun 14th, 2010 - about 15 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 | 1013957612 | NPPES |
| Texas | MEDICAID | 101249401 |
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