Kari L Kennel (NPI# 1750753406, PAC ID# 4385945062) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750753406 |
| PAC ID by PECOS | 4385945062 |
| Professional Enrollment ID | I20151222002377 |
| Full Name | Kari L Kennel |
| Organization Legal Name | EAST TEXAS BORDER HEALTH CLINIC |
| Address |
2131 S Mobberly Ave Longview TX 75602-3563 |
| Phone Number | 9037583551 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8820038565 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2131 S Mobberly Ave, Longview, TX 75602-3563 | 9037583551 | EAST TEXAS BORDER HEALTH CLINIC |
| 2131 S Mobberly Ave, Genesis Primcare, Longview, TX 75602-3563 | 9037583551 | EAST TEXAS BORDER HEALTH CLINIC |
| Organization Legal Name | EAST TEXAS BORDER HEALTH CLINIC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Moore | Nurse Practitioner | East Texas Border Health Clinic | 805 Lindsey Dr, Marshall, TX 75670-5271 |
| Porscha Nicole Branch | Nurse Practitioner | East Texas Border Health Clinic | 4077 Jefferson Ave, Texarkana, AR 71854-1509 |
| Lindsey L Montgomery | Clinical Social Worker | East Texas Border Health Clinic | 618 S Grove St, Suite 100and300, Marshall, TX 75670-5294 |
| Whitney P Rosenbaum | Clinical Social Worker | East Texas Border Health Clinic | 1205 E 35th St, Genesis Primecare, Texarkana, AR 71854-2746 |
| Antonio D Ingram | Nurse Practitioner | East Texas Border Health Clinic | 1400 College Dr, Suite 204, Texarkana, TX 75503-3575 |
| Tiffany L Griffin | Nurse Practitioner | East Texas Border Health Clinic | 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 |
| Jay W Harvey | Family Medicine | East Texas Border Health Clinic | 811 S Washington Ave, Genesis Primecare, Marshall, TX 75670-5336 |
| Nita Ann Little | Nurse Practitioner | East Texas Border Health Clinic | 106 N Alley St, Genesis Primcare, Jefferson, TX 75657-1408 |
| Lloyd M Fruge | Family Medicine | East Texas Border Health Clinic | 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 |
| Gloria J Cunningham | Clinical Social Worker | East Texas Border Health Clinic | 1400 College Dr, Suite 204, Texarkana, TX 75503-3575 |
| Street Address |
2131 S MOBBERLY AVE |
| City | LONGVIEW |
| State | TX |
| Zip | 75602-3563 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julia Ann Russell | Nurse Practitioner | East Texas Border Health Clinic | 2131 S Mobberly Ave, Longview, TX 75602-3563 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roosevelt Taylor Jr. | Obstetrics/gynecology | Full Life Outreach Medical Center LLC | 1000 Sapphire St, Longview, TX 75602-3652 |
| City | LONGVIEW |
| Zip Code | 75602 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LONGVIEW + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kari L Kennel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.