Individual
TONYA S KIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 715-3610
(405) 715-3612
Mailing address
PO BOX 13618, OKLAHOMA CITY, OK 73113-1618
(405) 715-3610
(405) 715-3612
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1496381101
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55616
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145986
BCBS OF KS
KS
05
—
200477960A
—
KS
Enumeration date
07/11/2007
Last updated
09/06/2012
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