KYLE JAMES CARLSON

MOSCOW, ID
NPI1275312357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  77673)
Enumeration Date2023-09-27
Last Update Date2023-09-27
Business Address
KYLE JAMES CARLSON DNP, CRNA
700 S MAIN ST
MOSCOW, ID 83843-3046
Phone number: 208-228-4511
Mailing Address
KYLE JAMES CARLSON DNP, CRNA
PO BOX 9911
MOSCOW, ID 83843-0200
Phone number: 208-746-7555
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