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Individual

LISA KENYON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, APRN-RNP

Contact information

Practice address
4100 S LINDSAY RD STE 124, GILBERT, AZ 85297-1508
(480) 256-2643
Mailing address
1760 E PECOS RD STE 307, GILBERT, AZ 85295-3203
(480) 256-2648

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
238019
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
238019
AZ

Other

Enumeration date
06/27/2024
Last updated
03/27/2025
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