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Individual

KILEY FRAVEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4491
Mailing address
5742 VERSAILLES AVE, ANN ARBOR, MI 48103-9085

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704341946
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
PRN.CRNA.0021141
OH

Other

Enumeration date
08/31/2021
Last updated
10/10/2024
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