Individual provider · NPI-1

Kerri Kathleen Benavides, LVN

Licensed Practical Nurse · Houston, TX

NPI number1538769740
StatusActive
Last updated in NPPESOct 27, 2020

Details

NPI
1538769740
Entity type
Individual (NPI-1)
Name
Kerri Kathleen Benavides
Credential
LVN
Sex
Female
Sole proprietor
No
Enumeration date
Oct 27, 2020
Certification date
Oct 27, 2020
Last updated
Oct 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse217619TXYes

Practice location

2424 Wilcrest Dr Ste 100
Houston, TX 77042-2753

Phone 713-666-8287

Mailing address

Po Box 42303
Houston, TX 77242-2303

Phone 713-492-1705

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