MEDICARE: MS. KATHRYN EYLER 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
1	367500000X	Certified Registered Nurse Anesthetist	RN092848	GA

General Provider Information

NPI Number	:	1568560654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHRYN EYLER CRNA

Provider Business Mailing Address
First Line	:	806 JUDSON BULLOCH RD
Second Line	:
City	:	WARM SPRINGS
State	:	GA
Zip	:	31830-2362
Country	:	US
Telephone Number	:	706-655-2298
Fax Number	:

Provider Business Practice Location Address
First Line	:	806 JUDSON BULLOCH RD
Second Line	:
City	:	WARM SPRINGS
State	:	GA
Zip	:	31830-2362
Country	:	US
Telephone Number	:	706-655-2298
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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