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Contact Information

KYLE TIPTON, CRNA
4741 EAGLERIDGE CIRCLE
206
PUEBLO, CO81008
 Phone: 870-917-5734
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for KYLE TIPTON · (Male)

NPI Number 1336507847
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 01/29/2016
Last updated 03/05/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • CO License # 111291
Hospital affiliation(s)
  • PARKVIEW MEDICAL CENTER INC - (Acute Care)
    400 W 16TH STREET
    PUEBLO, CO 81003
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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