Individual
KENNETH LYLE NACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9645 BARKER CYPRESS RD STE 100, CYPRESS, TX 77433-5292
(346) 250-6010
Mailing address
PO BOX 57845, WEBSTER, TX 77598-7845
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1225238
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
01/15/2026
Last updated
05/04/2026
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