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Individual

MRS. KASELYNN DENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CRNA

Contact information

Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 233-7750
Mailing address
PO BOX 233, HAMEL, IL 62046-0233

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.032734
IL
367500000X
Certified Registered Nurse Anesthetist
209032734
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/07/2025
Last updated
08/05/2025
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