Individual
KAYLIE ALINA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
333 N RIVERSHIRE DR STE 160, CONROE, TX 77304-2711
(936) 756-1466
Mailing address
2855 GRAMERCY ST STE 400, HOUSTON, TX 77025-1756
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10054TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518576982
—
TX
Enumeration date
07/30/2020
Last updated
08/18/2022
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