Most Relevant Information
Provider Data
| NPI Number: | 1003465360 |
| Provider Name: | KYLE JAMES DALY CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 62595 |
Most Important Dates
| Enumeration Date: | 09/10/2019 |
| Last Updated: | 09/10/2019 |
Provider Practice Location
415 6TH ST
LEWISTON
ID
835012431
Practice Location Phone/Fax
| Phone: | 2087432511 |
| Fax: |
Provider Mailing Location
PO BOX 2295
ASHEVILLE
NC
288022295
Provider Mailing Phone/Fax
| Phone: | 8283985244 |
| Fax: | 8283603080 |