Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kysen Dane Sue, CPT

Individual provider Phlebotomy Technician · NPI 1891511432

Kysen Dane Sue, CPT is a Phlebotomy Technician in Lubbock, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024
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Practice location Address checks out

4617 50th St Ste 5
Lubbock, TX 79414-3507
Phone: (806) 599-6299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X · Licence NPCN-17321-11162 (TX)

Record details

NPI number1891511432
Entity typeIndividual (Type 1)
GenderMale
Credentials CPT
Sole proprietorYes
NPI enumeratedNovember 27, 2024
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024
Mailing address5815 82nd St, Suite 145 / Pmb 108, Lubbock, TX 79424

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