Individual
KENNETH GARRETT HONKOMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 MAY ST, BRYAN, TX 77802-1622
(979) 229-4463
Mailing address
309 MAY ST, BRYAN, TX 77802-1622
(979) 229-4463
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
330741
TX
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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