Provider Demographics
NPI:1558987222
Name:KENION, TONI (FNP)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:KENION
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 SOUTHTOWN CIR
Mailing Address - Street 2:
Mailing Address - City:ROLESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27571-9593
Mailing Address - Country:US
Mailing Address - Phone:919-435-1185
Mailing Address - Fax:919-435-8548
Practice Address - Street 1:258 SOUTHTOWN CIR
Practice Address - Street 2:
Practice Address - City:ROLESVILLE
Practice Address - State:NC
Practice Address - Zip Code:27571-9593
Practice Address - Country:US
Practice Address - Phone:919-435-1185
Practice Address - Fax:919-435-8548
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5013388363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily