Provider Demographics
NPI:1245516335
Name:ARMSTRONG, KYM CORINTHIA
Entity type:Individual
Prefix:
First Name:KYM
Middle Name:CORINTHIA
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KYM
Other - Middle Name:CORINTHIA
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:35 TOWN CTR
Mailing Address - Street 2:P. O. BOX 584
Mailing Address - City:DAYTON
Mailing Address - State:TX
Mailing Address - Zip Code:77535-2461
Mailing Address - Country:US
Mailing Address - Phone:936-257-8775
Mailing Address - Fax:
Practice Address - Street 1:35 TOWN CTR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TX
Practice Address - Zip Code:77535-2461
Practice Address - Country:US
Practice Address - Phone:936-257-8775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide