Individual
KAYAYA KABONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-2277
Mailing address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-2277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
243991
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
1152573
TX
367500000X
Certified Registered Nurse Anesthetist
4046192
KY
Other
Enumeration date
08/31/2021
Last updated
10/14/2025
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