Rhodes, Kerry T.

Rhodes, Kerry T. is an sole proprietor health care provider with primary practice located at 6080 South Hulen Street Suite 360 Pmb 215, Fort Worth TX 76132-4810. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Rhodes, Kerry T. can be contacted via phone (682) 205-1427.

Contact Information

Primary practice address
6080 South Hulen Street Suite 360 Pmb 215 Fort Worth TX 76132-4810
Fax: (817) 887-5837
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1107 Texas

Profile Details

NPI number 1336105394
LBN Legal business name Rhodes, Kerry T.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Jul 21st, 2022 - about 2 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 1336105394 NPPES
Texas MEDICAID 092781601
Texas MEDICAID 112204603

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