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

Kimberly Shantale Kenny

Individual provider Massage Therapist · NPI 1093562837

Kimberly Shantale Kenny is a Massage Therapist in Jacksonville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024
Specialties on file
2

Practice location Address checks out

802 Davis St
Jacksonville, NC 28540-4927
Phone: (910) 581-7745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 11806 (NC)
Massage Therapist Taxonomy 225700000X

Record details

NPI number1093562837
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 30, 2024
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024

Other providers in Jacksonville