SearchTexas207Q00000X

Kenneth Dority, D.O

NPI 1659313328 · on the registry since 2006

Practice

Address
2912 Kraft St Ste 30
Arlington, TX 76010
Phone
(402) 885-0365
Organisation at this address
Cleanslate Medical Group Of Texas Pllc
Diabetic Footwear & Supplies Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207QA0401X
2083P0011X
2083X0100X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-25

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