Individual
DAVID KLEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
611 W. PARK ST., URBANA, IL 61801-2500
(217) 383-3303
(217) 383-3265
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209013896
IL
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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