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Individual

DR. MICHAEL KLYM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1650 W COLLEGE ST, GRAPEVINE, TX 76051-3565
(817) 481-1588
Mailing address
5013 ESCAMBIA TER, FORT WORTH, TX 76244-5923
(817) 995-8665

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
147636
TX

Other

Enumeration date
12/14/2023
Last updated
12/14/2023
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