Individual
KYLE JAMES DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
Mailing address
PO BOX 2295, ASHEVILLE, NC 28802-2295
(828) 398-5244
(828) 360-3080
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
62595
ID
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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