Kenneth E. Aboussie DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9648 Issued in TX

Legal business name

KENNETH E. ABOUSSIE DDS

Practice address

2300 Harrison St
Wichita Falls, TX 76308

Phone

(940) 723-6677

Fax

(940) 723-6670

NPI assigned

May 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth E Aboussie

Title

Owner

Phone

(940) 723-6677

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154542231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HARRISON ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76308",
            "telephone_number": "940-723-6677",
            "fax_number": "940-723-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HARRISON ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76308",
            "telephone_number": "940-723-6677",
            "fax_number": "940-723-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH E. ABOUSSIE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABOUSSIE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-723-6677"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "9648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kell West Family Practice Clinic
• Kell West Regional Hospital LLC
• Phillip W. Kelly, M.D.
• Elaine Grace Kempf, CRNA
• Patricia Nau Kennedy, LPC, LPA, ASOTP
• Karen Sue Kent, LPC, LMFT
• Richard Lee Kern Jr., M.D.
• Anthony Ketchersid, PMHNP
• Mohammad Azeem Khan, MD
• Tania Khan, MD

• General Practice Dentistry in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.