| Khankham Kaitlyn Senesoury, NP | |
|
3101 Denton Hwy, Haltom City, TX 76117-3706 | |
| (817) 831-6500 | |
| Not Available |
| Full Name | Khankham Kaitlyn Senesoury |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3101 Denton Hwy, Haltom City, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225406440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP128938 (Texas) | Primary |
| Entity Name | Firstmed Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134818982 PECOS PAC ID: 8921464157 Enrollment ID: O20230515000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Khankham Kaitlyn Senesoury, NP 1200 W Walnut Hill Ln, Ste. 3950, Irving, TX 75038-3029 Ph: (972) 514-1672 | Khankham Kaitlyn Senesoury, NP 3101 Denton Hwy, Haltom City, TX 76117-3706 Ph: (817) 831-6500 |
Oluwatosin Abegunde, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5328 Waterview Ct, Haltom City, TX 76137 Phone: 940-442-2804 | |
Louis Graham, FNP, ENP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 Denton Hwy Ste A, Haltom City, TX 76117 Phone: 817-420-6009 | |
Tyler Murray, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2900 Denton Hwy Ste A, Haltom City, TX 76117 Phone: 817-420-6009 | |
Madeline Ann Maas, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2900 Denton Hwy, Haltom City, TX 76117 Phone: 817-420-6009 |