Individual
KIRBY KILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
13604 MARLEE CT, TYLER, TX 75706-4853
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
138849
TX
367500000X
Certified Registered Nurse Anesthetist
1105346
TX
Other
Enumeration date
11/10/2022
Last updated
01/11/2023
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