Healthcare Provider Details

I. General information

NPI: 1578444071
Provider Name (Legal Business Name): EMNET KEFENI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10014 GARLAND RD
DALLAS TX
75218-2917
US

IV. Provider business mailing address

136 WERNER ST
WERNERSVILLE PA
19565-1660
US

V. Phone/Fax

Practice location:
  • Phone: 214-320-8690
  • Fax:
Mailing address:
  • Phone: 610-301-1804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number76225
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: