Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TINA C KENEBREW, D.T.
Active Sole ProprietorMRS. TINA C KENEBREW, D.T. is a Early Intervention Provider Agency healthcare provider located in HOMEWOOD, Illinois. NPI 1972775633 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · HOMEWOOD, IL
Registration Details
- NPI Number
- 1972775633
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2008 (18.357034561716 yrs)
- Last Updated
- Apr 2, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
3142 OLIVE RDHOMEWOOD, IL, 604301416Browse IL providers · Browse ZIP 60430
- Phone
- 7087852992
- Fax
- 7087992882
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Other Early Intervention Provider Agency Providers in HOMEWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| CASSANDRA NEWSON | — | 1700288230 |
| DORI LEE ELMORE | — | 1205659927 |
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.