Individual provider · Type 1 NPI

Tina Kennimer, NP

Family Nurse Practitioner · Kennedale, TX

NPI number 1114549185 Active

Practice location

1115 Kennedale Sublett Rd
Kennedale, TX 76060-5821

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP146035 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1114549185

Tina Kennimer, NP's National Provider Identifier is 1114549185, issued on May 13, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kennedale, TX. The record was last updated on May 13, 2020.