Individual
KYLE C ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22 BRIDGE ST STE 9, CONCORD, NH 03301-4987
(603) 415-0090
(603) 692-1817
Mailing address
7 WORKS WAY, SOMERSWORTH, NH 03878-1639
(603) 841-2314
(603) 841-2305
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
767058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NH
Enumeration date
12/04/2012
Last updated
02/19/2018
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