Kenneth R Dority (NPI# 1659313328, PAC ID# 1052349388) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1659313328 |
| PAC ID by PECOS | 1052349388 |
| Professional Enrollment ID | I20050728000828 |
| Full Name | Kenneth R Dority |
| Organization Legal Name | CLEANSLATE MEDICAL GROUP OF TEXAS PLLC |
| Address |
2912 Kraft St Arlington TX 76010-5410 |
| Phone Number | 8175225138 |
| Gender | M |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | ADDICTION MEDICINE, PAIN MANAGEMENT, UNDERSEA AND HYPERBARIC MEDICINE |
| Group Practice PAC ID | 2062781180 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2912 Kraft St, Arlington, TX 76010-5410 | 8175225138 | CLEANSLATE MEDICAL GROUP OF TEXAS PLLC |
| Organization Legal Name | CLEANSLATE MEDICAL GROUP OF TEXAS PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivian Sona | Nurse Practitioner | Cleanslate Medical Group of Texas Pllc | 2912 Kraft St, Arlington, TX 76010-5410 |
| Fathima Chowdhury | Physician Assistant | Cleanslate Medical Group of Texas Pllc | 2912 Kraft St, Arlington, TX 76010-5410 |
| Street Address |
2912 KRAFT ST |
| City | ARLINGTON |
| State | TX |
| Zip | 76010-5410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivian Sona | Nurse Practitioner | Cleanslate Medical Group of Texas Pllc | 2912 Kraft St, Arlington, TX 76010-5410 |
| Fathima Chowdhury | Physician Assistant | Cleanslate Medical Group of Texas Pllc | 2912 Kraft St, Arlington, TX 76010-5410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha R Thomas | Physician Assistant | Acclaim Physician Group Inc | 501 W Main St, Central Arlington Behavioral Health, Arlington, TX 76010-1006 |
| Clinton C Battle Jr. | Internal Medicine | 615 E Abrahm St, Suite A, Arlington, TX 76010-1254 | |
| Adegboyega Omoba | Nurse Practitioner | 607 E Abram St, Fast Behavioral Health Clinic, Arlington, TX 76010-1296 | |
| Randell Walling | Chiropractic | 1806 E Abram St, Arlington, TX 76010-1301 | |
| Travis A Strasser | Chiropractic | 1417 S Ctr St, Arlington, TX 76010-2865 | |
| Nhan Chi Pham | Family Practice | 912 E Park Row Dr, Arlington Minor Emergency Clinic, Arlington, TX 76010-4507 | |
| Tram T Nguyen | Pediatric Medicine | Arlington Minor Emergency Clinic Pa | 912 E Park Row Dr, Arlington, TX 76010-4507 |
| Thao Q Nguyen | Family Practice | Arlington Minor Emergency Clinic Pa | 912 E Park Row Dr, Arlington, TX 76010-4507 |
| Veronica Salaices-fraire | Physician Assistant | Topcare Medical Group Inc | 941 E Park Row Dr, Clinicas Mi Doctor, Arlington, TX 76010-4508 |
| Anolynn G Loudermilk | Nurse Practitioner | Topcare Medical Group Inc | 941 E Park Row Dr, Clinicas Mi Doctor, Arlington, TX 76010-4508 |
| Find all physicians in zip 76010 | |||
| City | ARLINGTON |
| Zip Code | 76010 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | ARLINGTON + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Kenneth R Dority.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.