JEFFREY LYNN KENNINGTON

SHREVEPORT, LA
NPI1043990229
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WC0200X Registered Nurse, Critical Care Medicine
(Licence: TX  790105)
Enumeration Date2023-07-21
Last Update Date2023-07-21
Business Address
JEFFREY LYNN KENNINGTON RN
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
JEFFREY LYNN KENNINGTON RN
105 LAMPASAS WAY
WAKE VILLAGE, TX 75501-5791
Phone number: 903-293-1142