Individual
KAYLEIGH KRISTINE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-8695
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-8695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1187658
TX
163WC0200X
Critical Care Medicine Registered Nurse
226177
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
1187658
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
28241
SC
Other
Enumeration date
05/24/2023
Last updated
07/15/2026
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