Individual
KENZIE REICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGCNS-BC
Contact information
Practice address
4012 BOYD AVE, FORT WORTH, TX 76109-4546
(970) 420-7906
Mailing address
4012 BOYD AVE, FORT WORTH, TX 76109-4546
(970) 420-7906
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
AP135620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP135620
TEXAS BOARD OF NURSING APRN LICENSE
TX
Enumeration date
01/02/2018
Last updated
01/02/2018
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