Provider Demographics
NPI:1396991204
Name:HOYLE-SMITH, KENISHA EMICA (LVN)
Entity type:Individual
Prefix:MS
First Name:KENISHA
Middle Name:EMICA
Last Name:HOYLE-SMITH
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MS
Other - First Name:KENISHA
Other - Middle Name:EMICA
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:135 LINDA ST
Mailing Address - Street 2:
Mailing Address - City:HEMPHILL
Mailing Address - State:TX
Mailing Address - Zip Code:75948-9836
Mailing Address - Country:US
Mailing Address - Phone:409-787-1830
Mailing Address - Fax:409-787-2465
Practice Address - Street 1:135 LINDA ST
Practice Address - Street 2:
Practice Address - City:HEMPHILL
Practice Address - State:TX
Practice Address - Zip Code:75948-9836
Practice Address - Country:US
Practice Address - Phone:409-787-2465
Practice Address - Fax:409-787-2465
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX189989164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse