Organization
KLS ANESTHESIA NURSING APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LISS CRNA (OWNER)
(410) 746-3413
Entity
Organization
Contact information
Practice address
12264 EL CAMINO REAL STE 55, SAN DIEGO, CA 92130-3059
(858) 755-3937
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 747-5005
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/14/2023
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