Organization
CARDINAL ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRBY KITCHEN (MANAGER)
(229) 886-5347
Entity
Organization
Contact information
Practice address
577 MULBERRY ST STE 110, MACON, GA 31201-8220
(240) 469-2179
Mailing address
PO BOX 850001 DEPT 740N, ORLANDO, FL 32885-0001
(240) 469-2179
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
01/28/2020
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