DR. DONALD A KENNERLY MD

Allergy and Immunology

Dallas, Texas

Provider NPI: 1538124763

Provider Information:
DR. DONALD A KENNERLY MD


Practice Location:
4004 WORTH ST SUITE 300 DALLAS, TX 75246 US
Tel: 214-820-3500  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
X	207K00000X	Physicians Allergy & Immunology	TX	G6190
X	207R00000X	Physicians Internal Medicine	TX	G6190

Other Provider Identifiers:

Issuer	Number	State	Type
BC/BS	81941G	TX	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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