Individual
KIKI S MATTRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22377
SC
367500000X
Certified Registered Nurse Anesthetist
76943
SC
390200000X
Student in an Organized Health Care Education/Training Program
67377
ME
Other
Enumeration date
06/02/2016
Last updated
02/17/2025
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