| Doctor Name: | KYLA JONES WYNN |
| NPI Number: | 1073972527 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | AP121958 |
| Business Practice Address: | 5900 Highway 225 Medical Building Deer Park, TX - 775362434 |
| Business Phone Number: | 7132466932 |
| Business Fax Number: | 7132467811 |
| Mailing Address: | 5900 Highway 225, Medical Building DEER PARK |
| State: | TX |
| Postal Code: | 775362434 |
| Phone Number: | 7132466932 |
| Fax Number: | 7132467811 |
| NPI Enumeration Date: | 02/12/2016 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SX0106X |
| License Number: | AP121958 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Occupational Health |
| Taxonomy Definition: | |