Tina Kennimer is one of 1,896 nurse practitioners practicing in Dallas, Texas .
Tina Kennimer practices with Exelon Health Management LLC.
Registry record (NPPES)
NPI
1114549185
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
1115 Kennedale Sublett Rd
Enumerated
May 13, 2020
Record last updated
May 13, 2020
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
9304 Forest Ln Suite S145Dallas , TX 75243
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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