Individual
ALYSSA LEIGH KIMMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-2621
Mailing address
78 CATAWBA DR, NORTH EAST, PA 16428-1406
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
606209
PA
Other
Enumeration date
04/26/2017
Last updated
03/23/2021
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