Individual ProviderKyla PetrieStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressDepartment Of Orthopaedic Surgery 3601 4th St 4th Floor, Lubbock, TX 79430-0001(806) 743-4263PECOS EnrollmentBased on the most recent information from CMS, provider Kyla Petrie does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1932846656Provider TypeIndividualFull NamePetrie, KylaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date5/14/2022Last Updated5/14/2022Contact InformationPractice LocationPractice AddressDepartment Of Orthopaedic Surgery 3601 4th St 4th Floor, Lubbock, TX 79430-0001Phone(806) 743-4263FaxUnlisted FaxMailing LocationMailing AddressDepartment Of Orthopaedic Surgery 3601 4th St 4th Floor, Lubbock, TX 79430-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerTexas