Provider Demographics
NPI:1326408758
Name:NEWTON, KENYA M (LPN)
Entity Type:Individual
Prefix:MS
First Name:KENYA
Middle Name:M
Last Name:NEWTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1283 CROES AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10472-2803
Mailing Address - Country:US
Mailing Address - Phone:516-784-3291
Mailing Address - Fax:646-401-9061
Practice Address - Street 1:1283 CROES AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-2803
Practice Address - Country:US
Practice Address - Phone:516-784-3291
Practice Address - Fax:646-401-9061
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY322463164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse