Tina Kennimer, NP is a
Nurse Practitioner - Family based in Kennedale, Texas. Tina Kennimer is licensed to practice in Texas (license number AP146035) and her current practice location is
1115 Kennedale Sublett Rd, Kennedale, Texas. She can be reached at her office (for appointments etc.) via phone at
(682) 429-2723.
NPI number for Tina Kennimer is 1114549185 and her current mailing address is 1115 Kennedale Sublett Rd, Kennedale, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114549185.
Provider's Profile
| Full Name | Tina Kennimer |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1115 Kennedale Sublett Rd, Kennedale, 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: 1114549185
- Provider Enumeration Date: 05/13/2020
- Last Update Date: 05/13/2020
Medical Identifiers
Medical identifiers for Tina Kennimer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114549185 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | AP146035 (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. Tina Kennimer 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 |
|---|
Tina Kennimer, NP
1115 Kennedale Sublett Rd,
Kennedale, TX 76060-5821
Ph: (682) 429-2723 | Tina Kennimer, NP
1115 Kennedale Sublett Rd,
Kennedale, TX 76060-5821
Ph: (682) 429-2723 |
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