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NPI Code Detail

MEDICARE: MRS. KIMBERLY SLAYTON KENNEY APRN, CNS

MEDICARE:  MRS. KIMBERLY SLAYTON KENNEY  APRN, CNS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SA2200XAdult Health Clinical Nurse SpecialistAP117176TX

General Provider Information

NPI Number : 1467693713
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY SLAYTON KENNEY APRN, CNS
Provider Business Mailing Address
First Line : 1004 W 32ND ST STE 300
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1917
Country : US
Telephone Number : 512-324-9999
Fax Number : 999-999-9999
Provider Business Practice Location Address
First Line : 1004 W 32ND ST STE 300
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1917
Country : US
Telephone Number : 512-324-9999
Fax Number : 999-999-9999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2009
Last Update Date : 12/19/2023

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Directions to “ MRS. KIMBERLY SLAYTON KENNEY APRN, CNS” Practice Location

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