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Laura Jean Kenyon

NPI Registration Record

Provider / OrganizationNPIDate Certified
LAURA JEAN KENYON15680436692021-04-25

Laura Jean Kenyon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1568043669. Registration indicates Laura Jean Kenyon is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Laura Jean Kenyon
Practice Office Address1 BAYLOR PLZ
HOUSTON, TX US
Practice Office Telephone7137984857
Mailing Address76 WATERGATE LN
PATCHOGUE, NY 117723433 US
Business Telephone4019329542
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
193200000X MULTGroup Code
OPI Codes

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