Provider Demographics
NPI:1407666506
Name:FLOYD, KYLE (RN)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:FLOYD
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19177 OWL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:GATESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76528-5134
Mailing Address - Country:US
Mailing Address - Phone:254-368-3452
Mailing Address - Fax:
Practice Address - Street 1:19177 OWL CREEK RD
Practice Address - Street 2:
Practice Address - City:GATESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76528-5134
Practice Address - Country:US
Practice Address - Phone:254-368-3452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX850487163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse