Kylie Wyldbore

NPI 1194509745 · on the registry since 2023

Practice

Address: 1201 Shaffer Rd.
Bldg 1 Suite 1a
Santa Cruz, CA 95060
Phone: (831) 888-6234
Organisation at this address: Front St. Inc.
Front St. Administrative Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 34

Registry record

Primary taxonomy: Peer Specialist
175T00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California