Individual
KAYLA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
639 NORTH MULBERRY STREET, HEARTLAND ANESTHESIA CONSULTANTS, P.S.C., ELIZABETHTOWN, KY 42701-1931
(270) 737-4600
Mailing address
639 NORTH MULBERRY STREET, HEARTLAND ANESTHESIA CONSULTANTS, P.S.C., ELIZABETHTOWN, KY 42701-1931
(270) 737-4600
(270) 737-1722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1131732
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3011771
KY
Other
Enumeration date
07/06/2017
Last updated
10/19/2017
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