Individual
MR. KYLE D. JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 267-5700
(248) 267-5703
Mailing address
750 STEPHENSON HWY, TROY, MI 48083-1103
(248) 577-4995
(248) 577-3526
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704269646
MI
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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