Healthcare Provider Details

I. General information

NPI: 1134046154
Provider Name (Legal Business Name): SYDNEY KENYON APRN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 AIKEN AVE
FRANKLIN NH
03235-1259
US

IV. Provider business mailing address

PO BOX 3606
CONCORD NH
03302-3606
US

V. Phone/Fax

Practice location:
  • Phone: 603-737-6040
  • Fax:
Mailing address:
  • Phone: 817-683-6966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number092507-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: