Provider Demographics
NPI:1588808133
Name:ZAPP, KEISHA LIL
Entity Type:Individual
Prefix:
First Name:KEISHA
Middle Name:LIL
Last Name:ZAPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 EASTHAVEN DR
Mailing Address - Street 2:153
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77506-5173
Mailing Address - Country:US
Mailing Address - Phone:832-228-7359
Mailing Address - Fax:281-334-9298
Practice Address - Street 1:2112 EASTHAVEN DR
Practice Address - Street 2:153
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77506-5173
Practice Address - Country:US
Practice Address - Phone:832-228-7359
Practice Address - Fax:281-334-9298
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No171W00000XOther Service ProvidersContractor