Individual
KYLE ROSS JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1120 GLENWOOD AVE, NICHOLS HILLS, OK 73116-6207
(405) 408-9274
Mailing address
1120 GLENWOOD AVE, NICHOLS HILLS, OK 73116-6207
(405) 408-9274
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
100377
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
R0100377
OK
Other
Enumeration date
12/03/2010
Last updated
02/18/2021
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