Individual
JOHN E KRESGE
Active
Individual
JOHN E KRESGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-324043-L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
048901
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018603100007
—
PA
01
—
11453892
CAQH
PA
01
—
1337989
HIGHMARK
PA
01
—
1544464
GATEWAY
PA
01
—
2030781000
IBC
PA
01
—
50026714
CAPITAL ADVANTAGE
PA
01
—
7312259
AETNA
PA
01
—
77537
GEISINGER
PA
Enumeration date
06/24/2005
Last updated
07/08/2019
Update your record
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