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KENNETH TAM
NPI 1710430509
Nurse Practitioner - Family in Austin, TX

Active since July 27, 2016
9301 ELM GROVE CIR, AUSTIN, TX 78736(512) 291-8076(512) 590-7104 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Tam NPPES

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

KENNETH TAM (NPI 1710430509) is a healthcare organization registered as a family in Austin, Texas and active in the NPI registry since July 2016. The organization lists Kenneth Tam, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1710430509
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINNOVATIVE APN LLC
Location Address9301 ELM GROVE CIRAustin, TX 78736-7716
Mailing Address9301 Elm Grove CirAustin, TX 78736-7716 · (512) 291-8076 · Fax (512) 590-7104
Phone(512) 291-8076
Fax(512) 590-7104
Organization SubpartNo
Authorized OfficialKenneth TamNurse Practitioner · (512) 291-8076
Enumeration DateJuly 27, 2016
Last NPPES UpdateJuly 28, 2016
✔ NPI 1710430509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP118688
9301 ELM GROVE CIR, Austin, TX 78736
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Other Names 1

Doing Business AsKenneth Tam

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KIMBERLY MICHELLE HASTINGS FNP
Nurse Practitioner (Family)
9301 ELM GROVE CIR
AUSTIN, TX 78736
Travis County (512) 466-9660

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 Innovative Apn LLC's NPI number?

The NPI number for Innovative Apn LLC is 1710430509. It was assigned to this organization in the NPPES registry on July 27, 2016. The provider is doing business as Kenneth Tam.

Where is Innovative Apn LLC located?

Innovative Apn LLC is located at 9301 Elm Grove Cir, Austin, TX 78736. The listed phone number is (512) 291-8076.

What is Innovative Apn LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Innovative Apn LLC was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.