# KIRSTEN RENEE KENNEMER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346409612
- **Gender:** F
- **Credential:** AU.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 80126 | TX | Yes |

## Other

- **Enumeration date:** 06/03/2008
- **Last updated:** 01/31/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200463201 | — | TX |
| 01 | — | P00693131 | RAILROAD MEDICARE | — |