Victor D Kennel, PT | |
707 Hollybrook Dr, Suite 500, Longview, TX 75605-2410 | |
(903) 291-6113 | |
(903) 234-9126 |
Full Name | Victor D Kennel |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 51 Years |
Location | 707 Hollybrook Dr, Longview, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730170309 | NPI | - | NPPES |
171660706 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1060564 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associated Clinicians Of East Texas | 4789957440 | 96 |
Provider Name | Regional Clinics Of Longview |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407047863 PECOS PAC ID: 7214016559 Enrollment ID: O20080512000372 |
Provider Name | Associated Clinicians Of East Texas |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932640349 PECOS PAC ID: 4789957440 Enrollment ID: O20170831003007 |
Mailing Address | Practice Location Address |
---|---|
Victor D Kennel, PT Po Box 610393, Dallas, TX 75261-0393 Ph: (903) 291-6187 | Victor D Kennel, PT 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2410 Ph: (903) 291-6113 |
Ms. Trisha Lee Brown, ATC, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Woodbine Pl Unit 775, Longview, TX 75601 Phone: 039-757-8194 Fax: 903-757-8294 | |
Alyssa T Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3202 4th St Ste 101, Longview, TX 75605 Phone: 903-753-6635 Fax: 903-753-1114 | |
Robert Bailey Culp, Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Hollybrook Dr, Longview, TX 75605 Phone: 903-758-8888 | |
Mrs. Laura Lou Ann Austin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3206 N 4th St, Longview, TX 75605 Phone: 903-753-6635 Fax: 903-753-1114 | |
Mrs. Celia J Bower, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2715 Patio St, Longview, TX 75605 Phone: 903-759-1509 Fax: 903-295-0099 | |
Shayne Wright, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2903 Judson Rd, Longview, TX 75605 Phone: 903-235-5468 | |
Kevin Johns, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Loop 281, Suite 800, Longview, TX 75605 Phone: 903-315-5580 |