Individual
KIMBERLY WYNHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2215 BURDETT AVE, TROY, NY 12180-2475
(518) 525-8600
Mailing address
14407 DOVER FOREST DR, ORLANDO, FL 32828-7809
(801) 455-6055
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
078622-23
NH
367500000X
Certified Registered Nurse Anesthetist
2021020876
MO
367500000X
Certified Registered Nurse Anesthetist
868920
NY
Other
Enumeration date
08/10/2018
Last updated
03/16/2023
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