Organization
KENCARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA THOMAS APRN (OWNER)
(863) 348-0997
Entity
Organization
Contact information
Practice address
813 LINDSEY PL, LAKE WALES, FL 33853-3576
(863) 348-0997
(863) 474-0777
Mailing address
813 LINDSEY PL, LAKE WALES, FL 33853-3576
(863) 348-0997
(863) 474-0777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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