Individual
KYLE TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4741 EAGLERIDGE CIRCLE, 206, PUEBLO, CO 81008
(870) 917-5734
Mailing address
4741 EAGLERIDGE CIR APT 206, PUEBLO, CO 81008-2272
(870) 917-5734
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
111291
CO
Other
Enumeration date
01/29/2016
Last updated
03/05/2026
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