Most Relevant Information
Provider Data
| NPI Number: | 1003524869 |
| Provider Name: | KIRBY KILE CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 138849 |
Most Important Dates
| Enumeration Date: | 11/10/2022 |
| Last Updated: | 01/11/2023 |
Provider Practice Location
800 E DAWSON ST
TYLER
TX
757012036
Practice Location Phone/Fax
| Phone: | 9035938441 |
| Fax: |
Provider Mailing Location
13604 MARLEE CT
TYLER
TX
757064853
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |