Individual
MRS. KILYNN R LEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8111
Mailing address
PO BOX 14611, NEW BERN, NC 28561-4611
(918) 497-0799
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
135855
PA
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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