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Individual

KYLEA S ELDRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2525
Mailing address
68 S SERVICE RD STE 350, MELVILLE, NY 11747-2358
(516) 945-3333

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
137358
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
30476
TN

Other

Enumeration date
09/17/2021
Last updated
12/07/2021
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