Individual
KYLE LOUIS VENRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
Mailing address
6200 STARLIGHT DR, CONCORD, NC 28027-8206
(704) 213-3213
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
155265
NC
Other
Enumeration date
06/13/2022
Last updated
08/19/2025
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