Provider Demographics
NPI:1134666050
Name:RALPH, KIAHNA (RN)
Entity Type:Individual
Prefix:MS
First Name:KIAHNA
Middle Name:
Last Name:RALPH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13103 MOSSY BARK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-4204
Mailing Address - Country:US
Mailing Address - Phone:704-414-0511
Mailing Address - Fax:
Practice Address - Street 1:5211 PINEWILDE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-2825
Practice Address - Country:US
Practice Address - Phone:704-414-0511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-30
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX925441163W00000X
MERN68919163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163W00000XNursing Service ProvidersRegistered Nurse