Khankham Kaitlyn Senesoury, NP is a
Nurse Practitioner - Family based in Haltom City, Texas. Khankham Kaitlyn Senesoury is licensed to practice in Texas (license number AP128938) and her current practice location is
3101 Denton Hwy, Haltom City, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 831-6500.
NPI number for Khankham Kaitlyn Senesoury is 1225406440 and her current mailing address is 1200 W Walnut Hill Ln, Ste. 3950, Irving, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225406440.
Provider's Profile
| Full Name | Khankham Kaitlyn Senesoury |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 3101 Denton Hwy, Haltom City, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225406440
- Provider Enumeration Date: 09/03/2015
- Last Update Date: 09/03/2015
Medical Identifiers
Medical identifiers for Khankham Kaitlyn Senesoury such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225406440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | AP128938 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Khankham Kaitlyn Senesoury is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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