Kenneth P. Carlson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E9141 Issued in DC

Legal business name

KENNETH P. CARLSON, M.D.

Practice address

3125 Matlock Rd
Suite 108
Arlington, TX 76015-2920

Phone

(817) 468-3911

Fax

(817) 468-0374

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Kenneth Phillip Carlson, M.D.

Title

Doctor

Phone

(817) 468-3911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1336303452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 MATLOCK RD",
            "address_2": "SUITE 108",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152920",
            "telephone_number": "817-468-3911",
            "fax_number": "817-468-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 MATLOCK RD",
            "address_2": "SUITE 108",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152920",
            "telephone_number": "817-468-3911",
            "fax_number": "817-468-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH P. CARLSON, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "817-468-3911",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "E9141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Charles D Kennard, M.D.
• Jennifer Kennedy, NP
• Sarah Lynn Kennedy, DO
• Alexis Kennison, BCBA
• Kenyatta Black Counseling LLC
• Amber Kerbow, PA-C
• Carly Kerlick, PA-C
• Robert A Kestenbaum, DDS

• Pediatrics Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.