Charles D Kennard, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

K0086 Issued in TX

Practice address

300 W Arbrook Blvd Ste D
Arlington, TX 76014-3105

Phone

(817) 460-4444

Fax

(817) 460-8844

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles D. Kennard MD PA

  • Ph.D. Medical Genetics
  • Arlington, TX
  • NPI 1093916785
  Authorized official Same address or phone

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1841388121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W ARBROOK BLVD STE D",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143105",
            "telephone_number": "817-460-4444",
            "fax_number": "817-460-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ARBROOK BLVD STE D",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143105",
            "telephone_number": "817-460-4444",
            "fax_number": "817-460-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNARD",
        "first_name": "CHARLES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "K0086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken C Hopper MD PA (The Hopper Group)
• Shailyn Justice Kendrick-Dickerson, LMSW
• Susan Kendrick, APRN
• Jeremiah N Keng, DO
• Kenitra Kengga
• Jennifer Kennedy, NP
• Sarah Lynn Kennedy, DO
• Kenneth P. Carlson, M.D.
• Alexis Kennison, BCBA
• Kenyatta Black Counseling LLC

• MOHS-Micrographic Surgery Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.