Individual
KEMUNTO MOKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
508 MEDICAL CENTER BLVD STE 380, CONROE, TX 77304-2954
(281) 573-8333
(936) 703-5323
Mailing address
508 MEDICAL CENTER BLVD STE 380, CONROE, TX 77304-2954
(281) 573-8333
(936) 703-5323
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD0000051717
TN
207N00000X
Dermatology Physician
Primary
T5629
TX
207NP0225X
Pediatric Dermatology Physician
MD0000051717
TN
207NP0225X
Pediatric Dermatology Physician
T5629
TX
207NS0135X
Procedural Dermatology Physician
207NS0135X
TX
207NS0135X
Procedural Dermatology Physician
MD000051717
TN
Other
Enumeration date
06/08/2010
Last updated
04/25/2022
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