Individual
KAITLIN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 583-4000
Mailing address
1816 BONFORTE BLVD, PUEBLO, CO 81001-1740
(801) 427-2865
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
117633
UT
Other
Enumeration date
08/08/2017
Last updated
09/20/2020
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