Provider Demographics
NPI:1861028516
Name:SINGLETON, KENYA J (LVN)
Entity Type:Individual
Prefix:
First Name:KENYA
Middle Name:J
Last Name:SINGLETON
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 1:5001 SEAN HAGGERTY DR APT 23
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-1226
Mailing Address - Country:US
Mailing Address - Phone:915-215-0465
Mailing Address - Fax:
Practice Address - Street 1:5001 SEAN HAGGERTY DR APT 23
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-1226
Practice Address - Country:US
Practice Address - Phone:915-215-0465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX352762164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse