Individual
KYLE A GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 584-7706
(727) 584-1938
Mailing address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 584-7706
(727) 584-1938
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1454252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306045400
—
FL
01
—
G0416
BCBS OF FL
FL
Enumeration date
09/22/2005
Last updated
02/07/2011
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