NPI 1104301456

Kandace Wilkerson

Practitioner Licensed Vocational Nurse Odessa, TX

Practice location

Address: 3805 E Everglade Ave, Odessa, TX 79762-7048
Phone: (432) 703-3450

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 344724 (TX)

Other Licensed Vocational Nurse providers in Texas →

Registry record

NPI: 1104301456
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Oct 2018
Record last updated: 2 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.