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Individual

JENNIFER TINN KEP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
8233 N SAM HOUSTON PKWY E, HUMBLE, TX 77396-2922
(713) 442-2000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-4997

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
3047
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
3047
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2110VJ5E
CA
Enumeration date
03/29/2017
Last updated
09/26/2022
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