Provider Demographics
NPI:1528599412
Name:KLEIN, KYLIE LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:KYLIE
Middle Name:LEE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 FANNIN ST STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1990
Mailing Address - Country:US
Mailing Address - Phone:713-795-5053
Mailing Address - Fax:713-795-5389
Practice Address - Street 1:7500 FANNIN ST STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1990
Practice Address - Country:US
Practice Address - Phone:713-795-5053
Practice Address - Fax:713-795-5389
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT1986207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program