Individual
NATALIE JOAN KYLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2364
(509) 474-3131
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN60466830
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61569632
WA
Other
Enumeration date
03/12/2021
Last updated
06/27/2024
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