Kenneth Wilson Conner IV, MD

Emergency Medicine Physician · College Station, TX

Individual Active NPI

NPI number 1053816686

Practice location

700 Scott and White Dr
College Station, TX 77845-6441
Phone
(979) 207-0100
Fax
(979) 207-2161

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NPI record

NPI
1053816686
Entity type
Individual (Type 1)
Enumeration date
March 26, 2018
Last updated
September 22, 2021
Certified
September 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Emergency Medicine Physician Primary 207P00000X S9122 TX

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone
(254) 724-2111

About Dr. Conner

Kenneth Wilson Conner IV, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Emergency Medicine Physician (code 207P00000X). The practice location is 700 Scott and White Dr, College Station, TX 77845-6441. The NPI number 1053816686 was assigned on March 26, 2018 and the record was last updated on September 22, 2021.

Dr. Conner lists a license in the registry: #S9122 (TX) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Wilson Conner IV, MD?

The NPI number is 1053816686.

What is the phone number of Dr. Conner?

The phone number listed for the practice location is (979) 207-0100.

Where is Dr. Conner located?

700 Scott and White Dr, College Station, TX 77845-6441.

What is the taxonomy code for Dr. Conner?

The primary taxonomy code is 207P00000X – Emergency Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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