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Individual

KYLIE MICHELLE ERIKSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3500
Mailing address
645 STREETER DR APT 317, NORTH SIOUX CITY, SD 57049-4119

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D174327
IA

Other

Enumeration date
05/25/2023
Last updated
05/25/2023
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