Individual
KYLE THOMAS SHIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1002 N SPOKANE ST, POST FALLS, ID 83854-6731
(208) 457-7078
Mailing address
1002 N SPOKANE ST, POST FALLS, ID 83854-6731
(208) 457-7078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
59608
ID
Other
Enumeration date
06/05/2018
Last updated
10/14/2021
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