Individual
TEARA LYNN KIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
621 WHITE RIDGE RD, LAWRENCEBURG, IN 47025-9164
(513) 884-0346
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28199171A
IN
Other
Enumeration date
07/27/2018
Last updated
06/17/2025
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