Individual
WILLIAM KENT CARAWAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1634 ELTON RD, JENNINGS, LA 70546-3614
(225) 923-0030
(225) 923-0060
Mailing address
PO BOX 14447, BATON ROUGE, LA 70898-4447
(225) 923-0030
(225) 923-0060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
826603622
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1116921
—
LA
Enumeration date
07/04/2006
Last updated
04/13/2016
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