Kamila Brown

Individual provider Active NPI Licensed Vocational Nurse · Tyler, TX

NPI 1780148429 · NPPES record last updated Jan 28, 2019

Key facts

NPI
1780148429
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
186796 (TX)
Practice address
9846 Hwy 31 E
Tyler, TX 75705-2329
Phone
(903) 525-3740
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
186796TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 186796 TX Yes

Addresses

Primary practice location

9846 Hwy 31 E
Tyler, TX 75705-2329

Mailing address

9846 Hwy 31 E
Tyler, TX 75705-2329
Phone (903) 525-3740

Other providers in Tyler, TX

All providers in Tyler, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.