KATHRYN IRENE KENNELLY NP NPI 1013971258

NPI Information

NPI: 1013971258
Provider Name: KATHRYN IRENE KENNELLY, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
617 E 16TH ST
PLANO, TX
ZIP 75074
Phone: (972) 423-8110
Get Directions

Kathryn Irene Kennelly, NP is a family nurse practitioner in Plano, TX. Kathryn Irene Kennelly, NP NPI is 1013971258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

617 E 16TH ST
PLANO, TX
ZIP 75074-726
Phone: (972) 423-8110
Fax: (972) 423-1699

The enumeration date for this NPI number is 4/14/2006 and was last updated on 2/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F0804014	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	8D7027	MEDICARE PIN	TEXAS
2	169741902	MEDICAID	TEXAS
3	Q29960	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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