Individual
DR. KENYA SEKONI ETIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
203 NACOGDOCHES ST STE 280, JACKSONVILLE, TX 75766-2444
(903) 541-5396
Mailing address
203 NACOGDOCHES ST STE 280, JACKSONVILLE, TX 75766-2444
(903) 541-5396
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
4301076863
MI
207QA0505X
Adult Medicine Physician
Primary
T0200
TX
Other
Enumeration date
06/13/2006
Last updated
06/23/2021
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