NPI 1013270511

Kyle Gates Hiestand, CRNA

Practitioner Certified Registered Nurse Anesthetist Kalamazoo, MI

Practice location

Address: 900 Peeler St, Kalamazoo, MI 49008-2300
Phone: (269) 345-8618
Fax: (269) 345-1508

Registered specialties (4)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 4704291695 (MI)

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Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 772359 (CA)

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Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 4704291695 (MI)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013270511
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2012
Record last updated: 11 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.