| Kimberly Isabella Kennon, OTD, OTR/L | |
|
5755 Clearfork Main St, Fort Worth, TX 76109-3596 | |
| (817) 489-6602 | |
| Not Available |
| Full Name | Kimberly Isabella Kennon |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 5755 Clearfork Main St, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770323586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 124590 (Texas) | Primary |
| Provider Name | Synergy Care Southeast, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20141017000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Isabella Kennon, OTD, OTR/L 2308 Villanova St, Arlington, TX 76018-2551 Ph: (817) 862-8952 | Kimberly Isabella Kennon, OTD, OTR/L 5755 Clearfork Main St, Fort Worth, TX 76109-3596 Ph: (817) 489-6602 |
Ms. Mary Cathrine Mckenzie, MOT/OTR, CPRCS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7217 Hawkins View Dr Ste 201, Fort Worth, TX 76132 Phone: 817-479-7019 | |
Holly Christina Andrews, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5316 Trail Lake Dr, Fort Worth, TX 76133 Phone: 817-292-8787 Fax: 817-789-6489 | |
Mrs. Sue Khammar, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4140 Tamworth Rd, Fort Worth, TX 76116 Phone: 817-386-5500 Fax: 817-386-5500 | |
Danyelle Braelyn Huffaker, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8000 Calmont Ave, Fort Worth, TX 76116 Phone: 817-400-2273 | |
Lauren Elizabeth Galipp, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Fort Worth, TX 76107 Phone: 817-335-3022 | |
Katherine Moos, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5300 Altamesa Blvd, Fort Worth, TX 76133 Phone: 817-346-1800 | |
Diane R Alfino, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 West Fwy, Suite 100, Fort Worth, TX 76102 Phone: 888-997-2669 |