Hart, Kenneth R

Hart, Kenneth R is an sole proprietor health care provider with primary practice located at 5101 Medical Drive , San Antonio TX 78229-4801. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Hart, Kenneth R can be contacted via phone (210) 592-5349.

Contact Information

Primary practice address
5101 Medical Drive San Antonio TX 78229-4801
Phone: (210) 592-5349
Fax: (210) 592-5462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X F8504 Texas
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X F8504 Texas
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X F8504 Texas

Profile Details

NPI number 1003998071
LBN Legal business name Hart, Kenneth R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 16th, 2015 - about 11 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 1003998071 NPPES
Texas MEDICAID 081285101
Texas MEDICAID 081285102
Texas MEDICAID 132637302

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