Individual
KINZI LEA SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
4525 HERITAGE TRACE PKWY STE 117, FORT WORTH, TX 76244-8910
(817) 267-6290
(817) 267-0950
Mailing address
3030 HARWOOD RD STE 100, BEDFORD, TX 76021-3703
(817) 267-6290
(817) 267-0950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1194805
TX
Other
Enumeration date
05/20/2024
Last updated
12/05/2025
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