Provider Demographics
NPI:1932687951
Name:KYEREMEH, DORIS POKUAA (RN)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:POKUAA
Last Name:KYEREMEH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14001 FONDREN RD APT 428
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-1717
Mailing Address - Country:US
Mailing Address - Phone:646-591-8252
Mailing Address - Fax:
Practice Address - Street 1:14001 FONDREN RD APT 428
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-1717
Practice Address - Country:US
Practice Address - Phone:646-591-8252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX942841163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse