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Individual

KYLE MATTHEW CROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP-A, CRNA

Contact information

Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8200
Mailing address
10105 VERNON AVE, LUBBOCK, TX 79423-4489
(806) 928-1478

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1026903
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
131031
TX

Other

Enumeration date
12/30/2020
Last updated
11/15/2021
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