Healthcare Provider Details

I. General information

NPI: 1629338595
Provider Name (Legal Business Name): KENDRA FRANKLIN BOOKOUT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2012
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 21ST ST
LUBBOCK TX
79410-1219
US

IV. Provider business mailing address

3715 21ST ST
LUBBOCK TX
79410-1219
US

V. Phone/Fax

Practice location:
  • Phone: 806-319-5211
  • Fax: 806-416-7977
Mailing address:
  • Phone: 806-319-5211
  • Fax: 806-416-7977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberBP10040722
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: