Omenukor, Keyna

Omenukor, Keyna is an individual health care provider with primary practice located at 1675 Republic Pkwy Ste 190 , Mesquite TX 75150-6902. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Omenukor, Keyna can be contacted via phone (972) 576-7399.

Contact Information

Primary practice address
1675 Republic Pkwy Ste 190 Mesquite TX 75150-6902
Phone: (972) 576-7399
Fax: (972) 476-0006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP128934 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP128934 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024286045 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61500520 Washington

Profile Details

NPI number 1215307715
LBN Legal business name Omenukor, Keyna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2015
Last updated Sep 1st, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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