Ker Rock Island, PLLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

KER ROCK ISLAND, PLLC

Practice address

15950 Dallas Pkwy Ste 400
Dallas, TX 75248-6628

Phone

(469) 334-4307

NPI assigned

Dec 23, 2019

Organization subpart

No

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

Authorized official

Name

Felicia Alderete

Title

Legal Operations Manager

Phone

(210) 598-2801

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1861031783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 927 PO BOX 660707",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660707",
            "telephone_number": "469-334-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15950 DALLAS PKWY STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752486628",
            "telephone_number": "469-334-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KER ROCK ISLAND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "ALDERETE",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "LEGAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "210-598-2801"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Kenworthy, LMSW
• Maximus Kenyon, PT, DPT
• Brandy R. Keovilay, CRNA
• John Gordon Kephart, DC
• Kerra Kepley, MD
• Justine Ker
• Cameron Azim Keramati, MD
• Sarah Yekta Keramati
• Beth A Kerber
• Irwin J Kerber, MD

• Clinical Neurophysiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Neurophysiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.