Kenneth Garrett Honkomp

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

330741 Issued in TX

Practice address

309 May St
Bryan, TX 77802-1622

Phone

(979) 229-4463

NPI assigned

Jun 14, 2019

Last updated

Jun 14, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1801456652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MAY ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021622",
            "telephone_number": "979-229-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MAY ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021622",
            "telephone_number": "979-229-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONKOMP",
        "first_name": "KENNETH",
        "middle_name": "GARRETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "330741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter F. Hoke, RPH
• Courtney Monique Holmes, OTR/L
• Tyler Holt, BCBA
• Justin Holub, PA-C
• Honest Dental Associates, P.a.
• Shanna Honkomp, FNP-C
• Jesse Honnas, DC
• Davelyn Eaves Hood, MD
• Jason Marshall Hoover, M.D.
• Kassidy Lynn Hopkins

• Licensed Vocational Nurse in Bryan, TX
• Providers in Bryan, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.