Individual
KYLE J CREDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, SRNA
Contact information
Practice address
110 IRVING ST NW FL 2, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
110 IRVING ST NW FL 2, WASHINGTON, DC 20010-3017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001318621
VA
163W00000X
Registered Nurse
RN1061906
DC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0001318621
VA
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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