Individual
KIANNE RACHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7000
Mailing address
381 NW WOODBROOK DR, GRANTS PASS, OR 97526-3338
(541) 727-1874
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
11002692
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
202109920CRNA-P
OR
Other
Enumeration date
06/25/2019
Last updated
01/18/2025
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