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
Phone: (682) 205-1427
Fax: (817) 887-5837
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336105394 | NPPES |
Texas | MEDICAID | 092781601 | |
Texas | MEDICAID | 112204603 |
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