Provider Demographics
NPI:1053892802
Name:ROCKWELL, KARLENA (LVN)
Entity type:Individual
Prefix:
First Name:KARLENA
Middle Name:
Last Name:ROCKWELL
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6604 GRIFFITH LOOP
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-5551
Mailing Address - Country:US
Mailing Address - Phone:254-251-6406
Mailing Address - Fax:
Practice Address - Street 1:6604 GRIFFITH LOOP
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-5551
Practice Address - Country:US
Practice Address - Phone:254-251-6406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX221098164W00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No251E00000XAgenciesHome Health