Individual
KYLIE B DIGIACINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(816) 347-5097
(816) 347-5045
Mailing address
PO BOX 412431, KANSAS CITY, MO 64141-2431
(913) 647-4100
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2017003977
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2022018939
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67705011
BCBS KC
MO
05
—
910112022
—
MO
Enumeration date
04/21/2022
Last updated
05/08/2024
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