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MR. JERRY MARCUS KENNEBREW MBA ABD
NPI 1861957094
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since February 01, 2019
910 W OWENS AVE, LAS VEGAS, NV 89106(971) 240-0498 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Jerry Marcus Kennebrew Mba Abd NPPES

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

MR. JERRY MARCUS KENNEBREW MBA ABD (NPI 1861957094) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1861957094
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JERRY MARCUS KENNEBREWCredential: MBA ABD
Location Address910 W OWENS AVELas Vegas, NV 89106-2516
Mailing Address910 W Owens AveLas Vegas, NV 89106-2516 · (971) 240-0498
Phone(971) 240-0498
Sole ProprietorNo
Enumeration DateFebruary 1, 2019
✔ NPI 1861957094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
910 W OWENS AVE, Las Vegas, NV 89106
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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 Jerry Kennebrew's NPI number?

The NPI number for Jerry Kennebrew is 1861957094. It was assigned to this individual provider in the NPPES registry on February 1, 2019.

Where is Jerry Kennebrew located?

Jerry Kennebrew practices at 910 W Owens Ave, Las Vegas, NV 89106. The listed phone number is (971) 240-0498.

What is Jerry Kennebrew's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jerry Kennebrew was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.