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Individual

NICHOLAS KACHUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
11 GALLAGHER DR, PLAINS, PA 18705-1146
(570) 970-1030
(570) 270-0577
Mailing address
11 GALLAGHER DR, PLAINS, PA 18705-1146
(570) 970-1030
(570) 270-0577

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
016467
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN152998L
RN STATE LICENSE
PA
Enumeration date
07/28/2005
Last updated
07/08/2010
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