Individual provider · Type 1 NPI

Kenneth Gerald Jr.

Family Nurse Practitioner · Desoto, TX

NPI number 1487204392 Active

Practice location

731 W Belt Line Rd # 101
Desoto, TX 75115-4955

Call (972) 525-9900 Map

Fax (469) 333-7988

Mailing address

PO Box 360541
Pittsburgh, PA 15251-6541

Other practice locations

  • 2021 N Town East Blvd Ste 500, Mesquite, TX 75150-4060 · (305) 470-2929

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP141564 (TX)

Family Nurse Practitioner: Definition to come...

Other family nurse practitioner providers in Desoto

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About NPI 1487204392

Kenneth Gerald Jr.'s National Provider Identifier is 1487204392, issued on Sep 13, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Desoto, TX. The record was last updated on Jan 26, 2023.