Provider Demographics
NPI:1922616754
Name:COVEY, KAYSI SHAYE
Entity Type:Individual
Prefix:
First Name:KAYSI
Middle Name:SHAYE
Last Name:COVEY
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 1:455 COUNTY ROAD 1573
Mailing Address - Street 2:
Mailing Address - City:ALBA
Mailing Address - State:TX
Mailing Address - Zip Code:75410-3955
Mailing Address - Country:US
Mailing Address - Phone:903-360-3610
Mailing Address - Fax:
Practice Address - Street 1:455 COUNTY ROAD 1573
Practice Address - Street 2:
Practice Address - City:ALBA
Practice Address - State:TX
Practice Address - Zip Code:75410-3955
Practice Address - Country:US
Practice Address - Phone:903-360-3610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX961254163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse