MEDICARE: KENNETH AYTES 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	145078	TN

General Provider Information

NPI Number	:	1700262870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH AYTES CRNA

Provider Business Mailing Address
First Line	:	2817 ROCK MERRITT AVE
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:	910-907-8707
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 REILLY ST
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-7324
Country	:	US
Telephone Number	:	910-907-7668
Fax Number	:

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

Provider Enumeration Date	:	07/30/2015
Last Update Date	:	02/18/2026

Similar Medicare Providers

1295309201 — LAUREN PIKE RD, LD, CSSD
Practice Location Address:

2817 ROCK MERRITT AVE , WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
28310-7324

Practice Phone: 910-907-8922
Practice Fax: 910-907-6069

1740892389 — DR. ROGER WAYNE WEBB DNP, CRNA
Practice Location Address:

2817 ROCK MERRITT AVE
FORT BRAGG, NC
28310-7324

Practice Phone: 910-907-8922
Practice Fax:

1225022874 — VICTORIA HOANG-MAI O'SHEA RPH
Practice Location Address:

2817 REILLY ST
FORT BRAGG, NC
28310-7324

Practice Phone: 910-907-6337
Practice Fax:

1982693792 — DR. COLIN M GREENE MD
Practice Location Address:

2817 REILLY RD , WAMC ATTN: DCCS
FORT BRAGG, NC
28310-7324

Practice Phone: 910-907-6498
Practice Fax: 910-907-8473

1336130830 — KAREN ANN-MARIE WESLEY RD, LDN
Practice Location Address:

2817 REILLY RD , WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
28310-7324

Practice Phone: 910-907-8922
Practice Fax: 910-907-6069

1992780191 — MR. MICHAEL JEROME KAPP CRNA
Practice Location Address:

2817 REILLY RD
FORT BRAGG, NC
28310-7324

Practice Phone: 910-907-8922
Practice Fax: 910-907-6069

Directions to “ KENNETH AYTES CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.