Individual
MS. KAYLYNN KRIS ATENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
Mailing address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
012248
AZ
376K00000X
Nurse's Aide
CNA1000032322
AZ
Other
Enumeration date
02/29/2012
Last updated
05/25/2021
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