person
Mr. Kenneth Gerald JR.
Family Nurse Practitioner in Desoto, Texas
NPI 1487204392

Kenneth Gerald JR. is a Family Nurse Practitioner based in Pittsburgh, TX and is specialized in Family. Kenneth Gerald JR. practices in Desoto, TX. The NPI Number for Kenneth Gerald JR. is 1487204392 and holds a License No. AP141564 (Texas).

The current practice location address for Kenneth Gerald JR. is 731 W Belt Line Rd # 101, Desoto, TX and can be reached out via phone at 972-525-9900 and via fax at 469-333-7988.

Location: 731 W Belt Line Rd # 101, Desoto, TX, 15251-6541
person
Provider Profile Details
NPI Number
1487204392
Provider Name
Kenneth Gerald JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
731 W Belt Line Rd # 101, Desoto, TX, 15251-6541
Phone Number
972-525-9900
Fax Number
469-333-7988
Provider Enumeration Date
09/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
731 W Belt Line Rd # 101
City
State
Zip
75115-4955
Phone Number
972-525-9900
Fax Number
469-333-7988
person
Provider Business Mailing Address Details
Address
731 W Belt Line Rd # 101
City
State
Zip
75115-4955
Phone Number
972-525-9900
Fax Number
469-333-7988
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP141564 (Texas)
Definition
Definition to come...
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