Individual
KYSEN DANE SUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
4617 50TH ST STE 5, LUBBOCK, TX 79414-3507
(806) 599-6299
Mailing address
5815 82ND ST, SUITE 145 / PMB 108, LUBBOCK, TX 79424
(806) 599-6299
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
NPCN-17321-11162
TX
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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