Provider Demographics
NPI:1679393896
Name:RHOADS, KINDRA KAY (RN)
Entity type:Individual
Prefix:
First Name:KINDRA
Middle Name:KAY
Last Name:RHOADS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KINDRA
Other - Middle Name:KAY
Other - Last Name:HITTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:26007 QUIET DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-5333
Mailing Address - Country:US
Mailing Address - Phone:916-709-2947
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX988425163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency