Individual
KYLE BRETT SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4041 AVENUE B, SCOTTSBLUFF, NE 69361
(308) 635-3711
Mailing address
3205 SPRINGWOOD CIR, JONESBORO, AR 72404-7729
(208) 932-6639
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
94872
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2022
Last updated
10/28/2022
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