Individual
KRISTIN SHENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6155 SPORTS VILLAGE RD STE 100, FRISCO, TX 75033-3578
(469) 789-2595
Mailing address
3621 DOROTHY AVE, DALLAS, TX 75209-6203
(409) 658-6460
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP146186
TX
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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