Provider Demographics
NPI:1942858949
Name:MAY, KIRSTI ELIZABETH
Entity Type:Individual
Prefix:
First Name:KIRSTI
Middle Name:ELIZABETH
Last Name:MAY
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 1:12956 MCCREA RD
Mailing Address - Street 2:
Mailing Address - City:MILES
Mailing Address - State:TX
Mailing Address - Zip Code:76861-4710
Mailing Address - Country:US
Mailing Address - Phone:325-284-9403
Mailing Address - Fax:
Practice Address - Street 1:12956 MCCREA RD
Practice Address - Street 2:
Practice Address - City:MILES
Practice Address - State:TX
Practice Address - Zip Code:76861-4710
Practice Address - Country:US
Practice Address - Phone:325-284-9403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX338062164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse