Ktd, Pllc

NPI #1841705100 in Stephenville, Texas

Provider Information

NPI Number: 1841705100
Entity Type: Organization
Organization Name: Ktd, Pllc
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Dec 8, 2017
Last Updated: Dec 8, 2017

Practice Location

Address: 2216 W WASHINGTON
City: Stephenville
State: Texas
ZIP Code: 76401-7640
Phone: (254) 965-5888

Authorized Official

Name: DR. KELLY S. DOGGETT, MD
Title: PHYSICIAN/SOLE MEMBER
Phone: (254) 965-5888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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