Individual
AVORIE KENNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2633 MILL SPRINGS PASS, FORT WORTH, TX 76123-2617
(817) 703-4416
Mailing address
2633 MILL SPRINGS PASS, FORT WORTH, TX 76123-2617
(181) 770-3441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1017775
TX
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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