Individual
KENYATTA L HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 W ALABAMA ST STE 200, HOUSTON, TX 77006-5177
(281) 509-3924
Mailing address
315 W ALABAMA ST STE 200, HOUSTON, TX 77006-5177
(281) 509-3924
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
751068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-2229050
HOSPICE COMPANY
TX
Enumeration date
06/28/2019
Last updated
06/28/2019
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