Chung, Keena Joy Ennis

Chung, Keena Joy Ennis is an individual health care provider with primary practice located at 4900 Mueller Blvd Dell Children'S Medical Center, Austin TX 78723-3079. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Chung, Keena Joy Ennis can be contacted via phone (512) 324-0000.

Contact Information

Primary practice address
4900 Mueller Blvd Dell Children'S Medical Center Austin TX 78723-3079
Fax: (512) 324-0721
Website:

Health care specialties

Profile Details

NPI number 1245263805
LBN Legal business name Chung, Keena Joy Ennis
Credentials CFNP, CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245263805 NPPES
Texas Other 741808 LICENSE NUMBER
Texas Other 7770 LICENSE NUMBER
Texas Other Y0195445 LICENSE NUMBER

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