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Contact Information

KENNETH R HART, DO
5101 MEDICAL DRIVE
SAN ANTONIO, TX78229-4801
 Phone: 210-592-5349
 Fax: 210-592-5462
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Aerospace Medicine

2083A0100X 84 Physician/Preventive Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KENNETH R HART · (Male)

NPI # 1003998071
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/19/2006
Last updated 07/16/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # F8504
  • TX Medicaid 081285101
  • TX Medicaid 081285102
  • TX Medicaid 132637302
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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