Provider Demographics
NPI:1609266287
Name:TOWNSEND, KANDI KAY II (LVN)
Entity Type:Individual
Prefix:MS
First Name:KANDI
Middle Name:KAY
Last Name:TOWNSEND
Suffix:II
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 1:6414 HOME PORT DR APT 1236
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-2381
Mailing Address - Country:US
Mailing Address - Phone:682-444-8265
Mailing Address - Fax:817-615-9569
Practice Address - Street 1:6414 HOME PORT DR APT 1236
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76131-2381
Practice Address - Country:US
Practice Address - Phone:682-444-8265
Practice Address - Fax:817-615-9569
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX323720164X00000X
CA262681164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse