Terrell, Kenneth

Terrell, Kenneth is an individual health care provider with primary practice located at 4410 Medical Dr Suite 440, San Antonio TX 78229-6306. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Terrell, Kenneth can be contacted via phone (210) 692-9400.

Contact Information

Primary practice address
4410 Medical Dr Suite 440 San Antonio TX 78229-6306
Phone: (210) 692-9400
Fax: (210) 692-9601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X E6649 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E6649 Texas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X E6649 Texas

Profile Details

NPI number 1164423307
LBN Legal business name Terrell, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 7th, 2012 - about 12 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 1164423307 NPPES
Texas MEDICAID 133977208
Texas Other 8U5580

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