Most Relevant Information
Provider Data
| NPI Number: | 1003677337 |
| Provider Name: | KALEB KILLENS CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 901888 |
Most Important Dates
| Enumeration Date: | 01/23/2024 |
| Last Updated: | 01/23/2024 |
Provider Practice Location
67252 INDUSTRY LN
COVINGTON
LA
704338704
Practice Location Phone/Fax
| Phone: | 9858099888 |
| Fax: |
Provider Mailing Location
84 B A KINCAID RD
POPLARVILLE
MS
394709790
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |