Individual
PRISCILLA LYNN KENYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1575 S MAIN ST, FORT WORTH, TX 76104-4901
(817) 702-7263
Mailing address
504 PLUM DR, BURLESON, TX 76028-8463
(817) 992-5408
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
788619
TX
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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