Dr MARY M KENYON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.
SUNRISE MEDICAL GROUP, PC
117 CAMINO DE VIDA
SUITE 300
SANTA ROSA
NM
884352267
Tel: 5754724311
| Npi | 1366824963 |
| Pac Id | 6406154913 |
| Professional Enrollment Id | I20160418001026 |
| Last Name | KENYON |
| First Name | MARY |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| All Secondary Specialties | |
| Organization Legal Name | SUNRISE MEDICAL GROUP, PC |
| Group Practice Pac Id | 6406744028 |
| Number Of Group Practice Members | 18 |
| Line 1 Street Address | 117 CAMINO DE VIDA |
| Line 2 Street Address | SUITE 300 |
| Marker Of Address Line 2 Suppression | |
| City | SANTA ROSA |
| State | NM |
| Zip Code | 884352267 |
| Phone Number | 5754724311 |
| Hospital Affiliation Ccn 1 | 320067 |
| Hospital Affiliation Lbn 1 | GUADALUPE COUNTY HOSPITAL |
| Hospital Affiliation Ccn 2 | 320003 |
| Hospital Affiliation Lbn 2 | ALTA VISTA REGIONAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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