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KYLE TROTT BENGE CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1922507706

Individual Registrant:
 KYLE TROTT BENGE CRNA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1035 RED BUD RD NE  CALHOUN, GA 30701-6010 US
Tel: 706-879-4776  Fax: 706-879-5841

Contact information for business:
PO BOX 12938 C/O CLINIC MANAGEMENT CALHOUN, GA 30703 US
Tel: --  Fax: --

Registration Information:
NPI: 1922507706
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
GA275520

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
003201670AGA05
003201670BGA05




HEALTH CARE JOBS GA - Page 1



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