Organization
VISION ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRBY KITCHENS CRNA (MEMBER/MANAGER)
(941) 360-1566
Entity
Organization
Contact information
Practice address
9726 TOUCHTON RD STE 305, JACKSONVILLE, FL 32246-8307
(904) 686-6020
(904) 619-8879
Mailing address
PO BOX 4485, DEPT 1200, HOUSTON, TX 77210-4485
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/29/2020
Last updated
07/22/2021
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