Most Relevant Information
Provider Data
| NPI Number: | 1003341165 |
| Provider Name: | ALYSSA LEIGH KIMMY CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 606209 |
Most Important Dates
| Enumeration Date: | 04/26/2017 |
| Last Updated: | 03/23/2021 |
Provider Practice Location
201 STATE ST
ERIE
PA
165500002
Practice Location Phone/Fax
| Phone: | 8148772621 |
| Fax: |
Provider Mailing Location
78 CATAWBA DR
NORTH EAST
PA
164281406
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |