Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Wilson Conner IV, MD

Individual provider Emergency Medicine Physician · NPI 1053816686

Dr. Kenneth Wilson Conner IV, MD is an Emergency Medicine in College Station, Texas. Graduated from University of Texas Medical School at San Antonio in 2018, 8 years ago. Practices with Century Integrated Partners, Inc, a 330-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Trained at
University of Texas Medical School at San Antonio
Licensed in
TX
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

700 Scott And White Dr
College Station, TX 77845-6441
Phone: (979) 207-0100
Fax: (979) 207-2161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence S9122 (TX)

Record details

NPI number1053816686
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2018 (8 years in practice)
Group practice Century Integrated Partners, Inc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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