Individual
MS. KYLIE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2615 CALDER ST STE 610, BEAUMONT, TX 77702-1947
(281) 968-2745
Mailing address
6321 VERDE ST, GROVES, TX 77619-5127
(409) 433-1265
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
347297
TX
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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