Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENYA SEKONI ETIM, M.D.
ActiveDR. KENYA SEKONI ETIM, M.D. is a Adolescent Medicine healthcare provider located in JACKSONVILLE, Texas. NPI 1124061817 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · JACKSONVILLE, TX
Registration Details
- NPI Number
- 1124061817
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2006 (20.188534376777 yrs)
- Last Updated
- Jun 23, 2021
- Licenses
-
4301076863 (MI)T0200 (TX)
Practice Information
- Address
-
203 NACOGDOCHES ST STE 280JACKSONVILLE, TX, 757662444Browse TX providers · Browse ZIP 75766
- Phone
- 9035415396
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.