Individual
KATHLEEN M BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
766 LANTANA ST, COCOA, FL 32926-5246
(321) 684-0629
Mailing address
766 LANTANA ST, COCOA, FL 32926-5246
(321) 684-0629
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5242990
FL
Other
Enumeration date
01/24/2026
Last updated
01/24/2026
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