Individual
MS. KENNISHA LONDREA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
70534
TX
246Z00000X
Other Specialist/Technologist
1003992
TX
363LF0000X
Family Nurse Practitioner
1199281
TX
Other
Enumeration date
02/22/2018
Last updated
05/22/2025
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