Organization · Type 2 NPI

Kenneth Archer MD PA

Adult Medicine Physician · Keller, TX

NPI number 1700660628 Active

Practice location

1016 Bourland Rd
Keller, TX 76248-3925

Mailing address

PO Box 2077
Keller, TX 76244-2077

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1700660628

Kenneth Archer MD PA's National Provider Identifier is 1700660628, issued on Aug 22, 2023. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Keller, TX. The record was last updated on Aug 22, 2023.