Individual
MR. MATTHEW GEORGE KRAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
Mailing address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN00153777
WA
Other
Enumeration date
05/29/2007
Last updated
11/06/2007
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