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KIMBERLY SHANTALE KENNY
NPI 1093562837
Massage Therapist in Jacksonville, NC

Active since April 30, 2024
802 DAVIS ST, JACKSONVILLE, NC 28540(910) 581-7745 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Shantale Kenny NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY SHANTALE KENNY (NPI 1093562837) is an individual massage therapist in Jacksonville, North Carolina, licensed in North Carolina (11806) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1093562837
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKIMBERLY SHANTALE KENNY
Location Address802 DAVIS STJacksonville, NC 28540-4927
Mailing Address802 Davis StJacksonville, NC 28540-4927 · (910) 581-7745
Phone(910) 581-7745
Sole ProprietorYes
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1093562837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NC · 11806
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
802 DAVIS ST, Jacksonville, NC 28540
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Kenny's NPI number?

The NPI number for Kimberly Kenny is 1093562837. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Kimberly Kenny located?

Kimberly Kenny practices at 802 Davis St, Jacksonville, NC 28540. The listed phone number is (910) 581-7745.

What is Kimberly Kenny's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kimberly Kenny was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.