SearchTexas164X00000X

Kenisha Slade

NPI 1073161477 · on the registry since 2019

Practice

Address
21 Lazy Swing Ct
Manvel, TX 77578
Phone
(808) 728-9240

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas