Individual
KYLIE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, DNP, CRNA
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-2111
(619) 532-8963
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(805) 245-5160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95095856
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002650
CA
Other
Enumeration date
07/30/2024
Last updated
07/02/2025
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