Individual
MR. KELSEY KOCJANCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 E BLAND ST, APT 281, CHARLOTTE, NC 28203-6142
(814) 335-2542
Mailing address
222 E BLAND ST, APT 281, CHARLOTTE, NC 28203-6142
(814) 335-2542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
241335
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
90996
NC
Other
Enumeration date
11/12/2012
Last updated
01/23/2013
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