NPI 1104471630

Kathy Provost

Practitioner Licensed Vocational Nurse Katy, TX

Practice location

Address: 3915 Meadow Lilly Ln, Katy, TX 77449-7646
Phone: (832) 265-4708
Mailing address: 1155 Dairy Ashford Rd STE 560, Houston, TX 77079-3035

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 185370 (TX)

Other Licensed Vocational Nurse providers in Texas →

Registry record

NPI: 1104471630
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Aug 2019
Record last updated: 1 Aug 2019

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.