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TRUNG KITCHENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5000
(814) 452-7818
Mailing address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5000
(814) 452-7818

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN710706
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
154625
CRNA
PA
01
RN710706
PA RN LICENSE
PA
Enumeration date
02/06/2024
Last updated
12/22/2025
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