Individual
MR. CHRISTOPHER DOUGLAS KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 664-7048
(703) 644-7402
Mailing address
68 S SERVICE RD, MELVILLE, NY 11747-2358
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169251
VA
367500000X
Certified Registered Nurse Anesthetist
NA4420
CA
367500000X
Certified Registered Nurse Anesthetist
R191518
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011150500
—
FL
05
—
1598061053
—
VA
05
—
4225490
—
MD
Enumeration date
02/01/2011
Last updated
03/23/2015
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