Kathleen Michelle Eudy, LVN
Individual provider Active NPI Licensed Vocational Nurse · Gladewater, TX
NPI 1972192912 · NPPES record last updated Jan 14, 2021
Key facts
- NPI
- 1972192912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 1013946 (TX)
- Practice address
- 9941 Union Grove Rd
Gladewater, TX 75647-3630 - Phone
- (903) 452-5516
- NPI assigned
- Jan 14, 2021
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1013946 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 1013946 | TX | Yes |
Addresses
Primary practice location
9941 Union Grove Rd
Gladewater, TX 75647-3630
Mailing address
9941 Union Grove Rd
Gladewater, TX 75647-3630
Phone (903) 452-5516
Other providers in Gladewater, TX
- CVS Pharmacy Inc
- Augusta Helene Daughtry
- Robert Davidson
- Easttexrx LLC
- Errands for All, LLC
- Sharon Evers
- Fannin County Hospital Authority
- Rebecca Fenton
- Leslie Finnegan
- Jacey Michelle Fleet
All providers in Gladewater, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.