Individual
AMY A KENNEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APN-BC
Contact information
Practice address
1002 TEXAS BLVD STE 325, TEXARKANA, TX 75501-5118
(903) 794-6544
Mailing address
1409 LEONA DR, ASHDOWN, AR 71822-3105
(903) 826-5020
(903) 764-6546
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R63145
AR
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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