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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:

PrimaryCodeCategory/DescriptionStateLicense Number
X207K00000XPhysicians
Allergy & Immunology
TXG6190
X207R00000XPhysicians
Internal Medicine
TXG6190

Other Provider Identifiers:

IssuerNumberStateType
BC/BS81941GTX01
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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