Kylie Ann Gross
Kylie Ann Gross is a Certified Registered Nurse Anesthetist (CRNA) in Oklahoma City, Oklahoma. Qualified in 2019, 7 years ago. Practices with Norman Regional Providers Specialty Care, a 145-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 7
- Licensed in
- OK
- In the registry since
- 2020
Practice location Address checks out
9600 Broadway Ext Ste B103Oklahoma City, OK 73114-7408
Phone: (405) 715-3610
Fax: (405) 715-3612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 115153 (OK) |
|---|
Record details
| NPI number | 1821638727 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 9, 2020 |
| Last updated in NPPES | January 9, 2020 |
| Certification date | January 9, 2020 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Norman Regional Providers Specialty Care — 145 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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Stefanie Gonsalves
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Mr. Gary Wayne Gulickson, CRNA
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Randy Hailey
9600 Broadway Ext, Oklahoma City, OK 73114-7408 · (405) 486-2100