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Individual

KELLY DEAN HRANICKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
341 S REIDEL, YORKTOWN, TX 78164-2024
(361) 564-4106
(361) 564-4163
Mailing address
341 SOUTH RIEDEL, YORKTOWN, TX 78164-2024
(361) 564-4106
(361) 564-4127

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
088474
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001016363
TX
05
005750701
TX
Enumeration date
04/01/2008
Last updated
12/06/2017
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