Kailee Dawn Petro, CRNA
Nurse Anesthetist, Certified Registered in Indianapolis, IN. Individual provider (NPI-1).
NPI number1336716802
StatusActive
Last updated in NPPESDec 3, 2024
Details
- NPI
- 1336716802
- Entity type
- Individual (NPI-1)
- Name
- Kailee Dawn Petro
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2021
- Certification date
- Dec 3, 2024
- Last updated
- Dec 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28202456A | IN | Yes |
Practice location
720 Eskenazi AveIndianapolis, IN 46202-5187
Phone 317-274-0275 · Fax 317-274-0256
Mailing address
250 N Shadeland AveIndianapolis, IN 46219-4959
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