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KEVIN CEDRIC ALLEN CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1629415229

Individual Registrant:
 KEVIN CEDRIC ALLEN CRNA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1400 29TH ST S  GREAT FALLS, MT 59405-5353 US
Tel: 618-499-0562  Fax: --

Contact information for business:
1400 29TH ST S  GREAT FALLS, MT 59405-5353 US
Tel: 618-499-0562  Fax: --

Registration Information:
NPI: 1629415229
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
IL209010452
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
MT77327

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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