Individual provider · Type 1 NPI

Vedwattie D. Kooma

Licensed Practical Nurse · San Antonio, TX

NPI number 1265620736 Active

Practice location

3130 Birkhead Dr
San Antonio, TX 78234-2565

Call (210) 824-1268 Map

Fax (210) 824-1268

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X163458 (TX)

Licensed Practical Nurse: 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 responsibilities vary among the states.

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About NPI 1265620736

Vedwattie D. Kooma's National Provider Identifier is 1265620736, issued on Oct 10, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in San Antonio, TX. The record was last updated on Oct 10, 2007.