MEDICARE: MRS. KYLE LEANN INMAN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	953604	TX
2	163WW0000X	Wound Care Registered Nurse	953604	TX
3	163WA2000X	Administrator Registered Nurse	953604	TX

General Provider Information

NPI Number	:	1699240192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KYLE LEANN INMAN RN

Provider Business Mailing Address
First Line	:	2903 OAKWOOD DR
Second Line	:
City	:	LUFKIN
State	:	TX
Zip	:	75901-6716
Country	:	US
Telephone Number	:	936-676-6534
Fax Number	:

Provider Business Practice Location Address
First Line	:	2903 OAKWOOD DR
Second Line	:
City	:	LUFKIN
State	:	TX
Zip	:	75901-6716
Country	:	US
Telephone Number	:	936-676-6534
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2018
Last Update Date	:	09/04/2025

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