Individual
SAMUEL KINIARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Mailing address
1001 COLLEGE AVE STE A, FORT WORTH, TX 76104-3000
(817) 336-6000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP132978
TX
Other
Enumeration date
05/31/2017
Last updated
03/26/2024
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