Individual
REGINA MASTERS KITTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8001 YOUREE DR, SHREVEPORT, LA 71115-2302
(318) 212-3000
Mailing address
8001 YOUREE DR, SHREVEPORT, LA 71115-2302
(318) 212-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R094859
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
AP07859
LA
367500000X
Certified Registered Nurse Anesthetist
C003004
AR
Other
Enumeration date
01/18/2014
Last updated
09/29/2014
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