Individual
MRS. AMY LEIGH KENYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
113760
IA
363LN0000X
Neonatal Nurse Practitioner
Primary
K170246
IA
Other
Enumeration date
05/24/2022
Last updated
10/05/2022
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