Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Wong, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1770323511

Kyle Wong, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Marshall, Minnesota. Qualified in 2024, 2 years ago. Practices with Avera Marshall, a 100-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

300 S Bruce St
Marshall, MN 56258-1934
Phone: (507) 532-9661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2987 (MN)

Record details

NPI number1770323511
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address11500 Wayzata Blvd # 1074, Minnetonka, MN 55305-2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Avera Marshall — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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