Kenneth Bloodworth

NPI 1154662690 · on the registry since 2013 · sole proprietor

Practice

Address: 2001 Windy Ter
Ste F
Cedar Park, TX 78613
Phone: (210) 393-1704
Organisation at this address: Any Place Md Inc.
Dental Health Management Solutions, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas