Provider Demographics
NPI:1194615823
Name:KUYKENDALL, ANGIE LOUISE
Entity type:Individual
Prefix:
First Name:ANGIE
Middle Name:LOUISE
Last Name:KUYKENDALL
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 1:3886 EVERLY BEND DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4467
Mailing Address - Country:US
Mailing Address - Phone:281-781-3199
Mailing Address - Fax:
Practice Address - Street 1:3886 EVERLY BEND DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4467
Practice Address - Country:US
Practice Address - Phone:281-781-3199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-04
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No171M00000XOther Service ProvidersCase Manager/Care Coordinator