MR. KENNETH GERALD JR.


Address: 2021 N Town East Blvd Ste 500, Mesquite, TX 75150-4060
Phone: 3054702929

MR. KENNETH GERALD JR. (NPI# 1487204392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487204392
Entity Type Individual
Full Name MR. KENNETH GERALD JR.
Practice Address 2021 N Town East Blvd Ste 500
Mesquite
TX 75150-4060
Practice Telephone 3054702929
Mailing Telephone 3054702929
Enumeration Date 2019-09-13
Last Update Date 2019-12-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP141564 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2021 N TOWN EAST BLVD STE 500
City MESQUITE
State TX
Zip Code 75150-4060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881249365 Sanitas Medical Center of Texas Pa Family Medicine 2021 N Town East Blvd Ste 500, Mesquite, TX 75150-4060 2019-08-01
1952956450 Sanitas Medical Center of Texas Pa Clinic/Center 2021 N Town East Blvd Ste 500, Mesquite, TX 75150-4060 2019-08-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124630991 Affordable Home Health Care Home Health 3637 E. Us. Highway 80, Mesquite, TX 75150 2020-08-21
1245840933 Shanikqu Lashun George Specialist 1515 N. Towneast Blvd., Suite 19, Mesquite, TX 75150 2020-08-06
1578109542 Phyllis Renee Cephas Counselor 2200 N. Belt Line Road, #728, Mesquite, TX 75150 2019-11-25
1033766068 Darryl E Richmond Jr. Physical Therapist 2578 N Galloway Ave, 100, Mesquite, TX 75150 2019-08-23
1922666916 Jd Mesquite Dental Pllc Dentist 909 Tripp Rd Ste 190, Mesquite, TX 75150 2019-06-04
1134681349 Champions Rehabilitation, LLC Clinic/Center 1675 Republic Parkway Suite 201, Mesquite, TX 75150 2019-04-05
1205317351 Sheila Katherine Bartley Occupational Therapist 3617 O'hare Dr., Mesquite, TX 75150 2018-08-27
1295215028 Amanda Greene Occupational Therapy Assistant 3617 Ohare Drive, Mequite, TX 75150 2018-08-21
1053890244 Barbara Mohrle Occupational Therapist 2231 Us Highway 80e, Willow Bend Nursing and Rehab, Mesquite, TX 75150 2018-08-09
1679052120 Brenda Johnson Counselor 4025 Towne Crossing Blvd Apt 1706, Mesquite, TX 75150 2018-08-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1740833359 Linda G Hampton Nurse Practitioner 1905 Pinehurst Ln Apt 6207, Mesquite, TX 75150-7236 2019-07-23
1124689781 Olivia Obazughanmwen Nurse Practitioner 2021 Crawford Dr, Mesquite, TX 75149-7627 2019-06-25
1982267621 Gloria Nkem Agbadiba Nurse Practitioner 1037 Kory Dr, Mesquite, TX 75149-6979 2019-04-18
1023571718 Secunda Udoye Nurse Practitioner 4616 Via Ventura, Mesquite, TX 75150-8229 2019-04-09
1003380437 Doris K Egyawan Nurse Practitioner 624 Yosemite Trl, Mesquite, TX 75149-2583 2019-01-18
1366914541 Christie Payne Nurse Practitioner 3617 Swallow Dr, Mesquite, TX 75181-4321 2018-12-27
1811469471 Bari Eichelbaum Nurse Practitioner 1324 N Galloway Ave Ste 104, Mesquite, TX 75149-2440 2018-12-20
1881183507 Fatuma Hassen Nurse Practitioner 1409 Jessica Ln, Mesquite, TX 75149-6983 2018-05-08
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Competitor

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City MESQUITE
Zip Code 75150

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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