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Octavia Kennard
NPI 1801623483 · on the registry since 2024
Practice
- Address
- 1022 Blair Field Ln
Fresno, TX 77545 - Phone
- (337) 570-8647
- Organisation at this address
- Agape Residential Care, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas