Individual
KYLE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6709 ACADEMY RD NE STE A, ALBUQUERQUE, NM 87109-3363
(505) 308-3145
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
63685
NM
367500000X
Certified Registered Nurse Anesthetist
RN60423007
WA
Other
Enumeration date
02/28/2014
Last updated
07/20/2022
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