Provider Demographics
NPI:1710697214
Name:KIMANI, ANNA (LVN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:KIMANI
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 1:8515 BOULEVARD 26 APT 106
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-5631
Mailing Address - Country:US
Mailing Address - Phone:214-414-6410
Mailing Address - Fax:
Practice Address - Street 1:8515 BOULEVARD 26 APT 106
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-5631
Practice Address - Country:US
Practice Address - Phone:214-414-6410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-25
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health