Provider Demographics
NPI:1477923928
Name:STOKES, KENNYA (LVN)
Entity Type:Individual
Prefix:MRS
First Name:KENNYA
Middle Name:
Last Name:STOKES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1342 E ELSMERE DR
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-2649
Mailing Address - Country:US
Mailing Address - Phone:310-753-6723
Mailing Address - Fax:310-753-6723
Practice Address - Street 1:1342 E ELSMERE DR
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-2649
Practice Address - Country:US
Practice Address - Phone:310-753-6723
Practice Address - Fax:310-753-6723
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN208791164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse