Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenna Provost Farek, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609624097

Kenna Provost Farek, MD is a Student in an Organized Health Care Education/Training Program in Lubbock, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3601 4th St # MS 9901
Lubbock, TX 79430-0002
Phone: (806) 743-2757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence BP10090108 (TX)

Record details

NPI number1609624097
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 9, 2024
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

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