Most Relevant Information
Provider Data
| NPI Number: | 1003368549 |
| Provider Name: | KENDALL FAITH KAYWORTH PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | AP132413 |
Most Important Dates
| Enumeration Date: | 11/01/2016 |
| Last Updated: | 11/01/2016 |
Provider Practice Location
8402 CROSS PARK DR
AUSTIN
TX
787544595
Practice Location Phone/Fax
| Phone: | 5125498021 |
| Fax: |
Provider Mailing Location
111 TURKEY TROT CIR
LORENA
TX
766553119
Provider Mailing Phone/Fax
| Phone: | 2547151764 |
| Fax: |