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Individual

KRISTEN AMLONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
726889
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191715502
TX
01
8707UG
BCBS
TX
Enumeration date
05/04/2007
Last updated
09/18/2015
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