Organization Active NPI

Kenwood Operations, LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Converse, TX
National Provider Identifier
1407348196
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
KENWOOD OPERATIONS, LLC
Practice address
3821 Colemans Run
Converse, TX 78109-3834
Phone
(210) 665-2544
NPI assigned
May 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2025

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

Authorized official

Name
Dr. David D Williams, PHD, MPH, MBA, CNIMNPI 1770758740
Title
Owner / President & Ceo
Phone
(210) 665-2544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0600X Primary
Point of Service 305S00000X
Mail Order Pharmacy 3336M0002X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

3821 Colemans Run
Converse, TX 78109-3834

Mailing address

3821 Colemans Run
Converse, TX 78109-3834
Phone (210) 665-2544

Other names 1

  • Kenwood Medical Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755993600000",
    "number": "1407348196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 COLEMANS RUN",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093834",
            "telephone_number": "210-665-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 COLEMANS RUN",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093834",
            "telephone_number": "210-665-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENWOOD OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER / PRESIDENT & CEO",
        "authorized_official_telephone_number": "210-665-2544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MPH, MBA, CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenwood Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Converse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2025; 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.