Kenneth P. Carlson

NPI #1790723948 in Arlington, Texas

Provider Information

NPI Number: 1790723948
Entity Type: Individual
Name: Kenneth P. Carlson
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pediatrics
Enumeration Date: Jun 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3125 MATLOCK RD
Address 2: SUITE 108
City: Arlington
State: Texas
ZIP Code: 76015-2920
Phone: (817) 468-3911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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