| Doctor Name: | DR. KENNETH R DARGIS |
| NPI Number: | 1760823876 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 216185 |
| Business Practice Address: | 608 Kilburn Rd Wilmington, DE - 198031705 |
| Business Phone Number: | 6469261741 |
| Business Fax Number: | |
| Mailing Address: | 608 Kilburn Rd, WILMINGTON |
| State: | DE |
| Postal Code: | 198031705 |
| Phone Number: | 6469261741 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2013 |
| NPI Last Update Date: | 07/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 216185 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |