Individual
DR. KELVIN KENYORU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13027 STATE HIGHWAY 155 S, TYLER, TX 75703-6560
(903) 839-1000
Mailing address
13027 HWY 155 S, TYLER, TX 75703-6560
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
68394
TX
3336C0002X
Clinic Pharmacy
68394
TX
Other
Enumeration date
04/16/2021
Last updated
01/28/2022
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