Provider Demographics
NPI:1457189425
Name:SINGLETON, KENYA YAKESHA (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:KENYA
Middle Name:YAKESHA
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-4714
Mailing Address - Country:US
Mailing Address - Phone:870-310-9137
Mailing Address - Fax:
Practice Address - Street 1:708 E 4TH ST
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-4714
Practice Address - Country:US
Practice Address - Phone:870-310-9137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR124783163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse