Individual
MR. WILLIAM KENT CARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4699
(337) 475-8333
Mailing address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4699
(337) 475-8333
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
017992
LA
367500000X
Certified Registered Nurse Anesthetist
AP02415
LA
367500000X
Certified Registered Nurse Anesthetist
RN626905
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1920799
—
LA
01
—
26905
BLUE CROSS
—
Enumeration date
07/14/2006
Last updated
07/08/2007
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