Organization
KLS ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY LEANNE LISS BSN, MSN, CRNA (PRESIDENT)
(410) 746-3413
Entity
Organization
Contact information
Practice address
865 WINDRIVER DR, SYKESVILLE, MD 21784-5500
(410) 746-3413
Mailing address
865 WINDRIVER DR, SYKESVILLE, MD 21784-5500
(410) 746-3413
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R162475
MD
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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