Individual
DWIGHT A KINGRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1968 PEACHTREE RD. NW, ATLANTA, GA 30309-1281
(404) 351-1745
(404) 351-7121
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APN0000010813
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN166317
GA
Other
Enumeration date
06/19/2005
Last updated
07/31/2023
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