Individual
KASIE POPE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5000
Mailing address
5539 ALMA DR, WINSTON SALEM, NC 27105-9601
(336) 991-6418
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7003
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2022
Last updated
10/12/2022
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