Provider Demographics
NPI:1639705072
Name:KUJAT, BILLIE JEAN (LVN)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:JEAN
Last Name:KUJAT
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 1:2308 SAILING WAY N UNIT A
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5557
Mailing Address - Country:US
Mailing Address - Phone:830-377-4306
Mailing Address - Fax:
Practice Address - Street 1:2308 SAILING WAY N UNIT A
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5557
Practice Address - Country:US
Practice Address - Phone:830-377-4306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX351864164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse