Individual
MRS. THERESA K KENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4330 ELMORE RD, ANCHORAGE, AK 99508-5907
(907) 729-6690
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166263
VA
363LF0000X
Family Nurse Practitioner
Primary
162389
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962523530
—
VA
Enumeration date
04/02/2007
Last updated
02/10/2026
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