Kenneth W Stegall, PA

NPI #1316912470 in Henderson, Texas

Provider Information

NPI Number: 1316912470
Entity Type: Individual
Name: Kenneth W Stegall, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 22, 2006
Last Updated: Mar 19, 2024

Practice Location

Address: 105 ZEID BLVD BLDG 2
City: Henderson
State: Texas
ZIP Code: 75652-6070
Phone: (903) 315-5612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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