Vedwattie D Kooma in San Antonio - Licensed Practical Nurse
Vedwattie D Kooma - NPI 1265620736
Vedwattie D Kooma is a Licensed Practical Nurse in San Antonio, Texas. Vedwattie D Kooma practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Vedwattie D Kooma is 1265620736. The last update date is 2007-10-10.
Vedwattie D Kooma's current location address is 3130 Birkhead Dr, San Antonio, Texas. You can contact this provider via phone number 2108241268 and fax number 2108241268. The mailing address for Vedwattie D Kooma is 3130 Birkhead Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vedwattie D Kooma |
|---|---|
| Address | 3130 Birkhead Dr, San Antonio, Texas |
| Phone Number | 2108241268 |
| Fax Number | 2108241268 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1265620736 |
|---|---|
| Provider Enumeration Date | 2007-10-10 |
| Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
| Address | 3130 Birkhead Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782342565 |
| Phone Number | 2108241268 |
| Fax Number | 2108241268 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 163458 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique 10-digit identification code issued to Vedwattie D Kooma by the Centers for Medicare & Medicaid Services?
The Vedwattie D Kooma has been assigned the NPI (National Provider Identifier) 1265620736 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Vedwattie D Kooma's facilities are situated?
The facilities of Vedwattie D Kooma are physically located at the following address: 3130 Birkhead Dr, San Antonio, TX, 782342565.
What is the Vedwattie D Kooma's specialty and taxonomy code?
The Vedwattie D Kooma's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
When was the Vedwattie D Kooma's 1265620736 issued?
The Vedwattie D Kooma's 1265620736 was issued on 2007-10-10.
When was the information regarding Vedwattie D Kooma, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Vedwattie D Kooma, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-10.