Individual
KAYLEE WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
14850 QUORUM DR STE 400, DALLAS, TX 75254-1445
(469) 437-3564
(469) 825-6903
Mailing address
14850 QUORUM DR STE 400, DALLAS, TX 75254-1445
(469) 437-3564
(469) 825-6903
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
100315
TX
367500000X
Certified Registered Nurse Anesthetist
742739
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
742739
TX
Other
Enumeration date
01/02/2014
Last updated
10/10/2024
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