Active NPI
Kenwood Operations, LLC
- Electroneurodiagnostic Specialist/Technologist
- Converse, TX
National Provider Identifier
1407348196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- 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
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, CNIM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Electroneurodiagnostic Specialist/Technologist
- Converse, TX
- NPI 1770758740
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.