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NPI Code Detail

MEDICARE: KYLE HOWSON HARTLEY DNP, CRNA

MEDICARE: KYLE HOWSON HARTLEY DNP, CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist147701PA
2367500000XCertified Registered Nurse AnesthetistAPN.0999489-CRNACO
3367500000XCertified Registered Nurse Anesthetist0024197284VA

General Provider Information

NPI Number : 1932799442
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE HOWSON HARTLEY DNP, CRNA
Provider Business Mailing Address
First Line : 250 BROOKLINE BLVD
Second Line :
City : HAVERTOWN
State : PA
Zip : 19083-3921
Country : US
Telephone Number : 215-863-1290
Fax Number :
Provider Business Practice Location Address
First Line : 2 BERNARDINE DR
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23602-4404
Country : US
Telephone Number : 757-886-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2021
Last Update Date : 06/12/2026

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