Individual
COLLEEN MARGARET KIENLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10800 MIDLOTHIAN TPKE, SUITE 207, NORTH CHESTERFIELD, VA 23235-4724
(804) 594-2622
(804) 594-0915
Mailing address
10800 MIDLOTHIAN TPKE, SUITE 207, NORTH CHESTERFIELD, VA 23235-4724
(804) 594-2622
(804) 594-0915
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001219796
VA
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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