Individual
KYLE TRAVLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 810-4121
Mailing address
PO BOX 1786, FORT COLLINS, CO 80522-1786
(855) 654-5262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
292484
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
C-APN.0003009-C-CRNA
CO
Other
Enumeration date
08/09/2020
Last updated
06/29/2021
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