Individual provider · Type 1 NPI
Jeffrey Lynn Kennington, RN
Critical Care Medicine Registered Nurse · Shreveport, LA
NPI number
1043990229
Active
Practice location
510 E Stoner Ave
Shreveport, LA 71101-4243
Mailing address
105 Lampasas Way
Wake Village, TX 75501-5791
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 790105 (TX) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1043990229
Jeffrey Lynn Kennington, RN's National Provider Identifier is 1043990229, issued on Jul 21, 2023. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Shreveport, LA. The record was last updated on Jul 21, 2023.