Individual
KACY R HUNTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
Mailing address
1010 LANSING DR, MOUNT PLEASANT, SC 29464-3531
(615) 260-4284
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
19177
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
80429
TN
Other
Enumeration date
01/16/2009
Last updated
01/12/2022
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