Individual
KOLTON MARK KUYKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 648-3111
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 648-3111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
741647
TX
Other
Enumeration date
01/11/2012
Last updated
09/08/2023
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