Dr Kenneth Michael Kingdon, MD | |
3100 Avenue E, Hondo, TX 78861-3534 | |
(830) 426-7723 | |
Not Available |
Full Name | Dr Kenneth Michael Kingdon |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3100 Avenue E, Hondo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114067196 | NPI | - | NPPES |
036126885 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | P4471 (Texas) | Secondary |
2086S0127X | Surgery - Trauma Surgery | P4471 (Texas) | Secondary |
207P00000X | Emergency Medicine | P4471 (Texas) | Primary |
Entity Name | Dewitt Medical District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366532608 PECOS PAC ID: 3072421395 Enrollment ID: O20031202000088 |
Entity Name | Frio Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952308132 PECOS PAC ID: 4981599693 Enrollment ID: O20040219000995 |
Entity Name | Refugio County Memorial Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821178336 PECOS PAC ID: 1153216783 Enrollment ID: O20040220000853 |
Entity Name | Victoria Emergency Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407917164 PECOS PAC ID: 7911005087 Enrollment ID: O20070613000507 |
Entity Name | Ucp Physicians Of Central Texas, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922289412 PECOS PAC ID: 3173697935 Enrollment ID: O20080729000203 |
Entity Name | Ea Health Physicians Medical Group Texas Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063786523 PECOS PAC ID: 2769645563 Enrollment ID: O20120515000031 |
Entity Name | Victoria Emergency Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322 |
Entity Name | Arlington Physician Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093144610 PECOS PAC ID: 8224256961 Enrollment ID: O20140821002133 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Michael Kingdon, MD 6330 Granada Way, San Antonio, TX 78257-1733 Ph: (619) 300-2289 | Dr Kenneth Michael Kingdon, MD 3100 Avenue E, Hondo, TX 78861-3534 Ph: (830) 426-7723 |
Dr. Ricardo Castellanos, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 Avenue E, Madina Regional Hospital, Hondo, TX 78861 Phone: 830-393-3122 |