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Kylee Vidrine

NPI 1376186569 · on the registry since 2019

Practice

Address
1600 N 16th St
Orange, TX 77630
Phone
(409) 886-1362
Organisation at this address
Kroger Texas L P
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-21

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 Texas