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NPI Code Detail

MEDICARE: KENNETH ALAN DAKIN PA-C

MEDICARE: KENNETH ALAN DAKIN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA06088TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740420306
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH ALAN DAKIN PA-C
Provider Business Mailing Address
First Line : 12221 MERIT DR STE 1610
Second Line :
City : DALLAS
State : TX
Zip : 75251-2204
Country : US
Telephone Number : 214-217-1911
Fax Number : 214-217-1912
Provider Business Practice Location Address
First Line : 12221 MERIT DR STE 1610
Second Line :
City : DALLAS
State : TX
Zip : 75251-2204
Country : US
Telephone Number : 214-217-1911
Fax Number : 214-217-1912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2009
Last Update Date : 01/25/2012

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Directions to “ KENNETH ALAN DAKIN PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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