Provider Demographics
NPI:1942642749
Name:KERLE, KIRK BRIAN (CRNA)
Entity Type:Individual
Prefix:MR
First Name:KIRK
Middle Name:BRIAN
Last Name:KERLE
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1322 CORSO PALERMO CT APT 2
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-4992
Mailing Address - Country:US
Mailing Address - Phone:239-776-0696
Mailing Address - Fax:
Practice Address - Street 1:1322 CORSO PALERMO CT APT 2
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-4992
Practice Address - Country:US
Practice Address - Phone:239-776-0696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9291677367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered