Organization
CARROLL COUNTY ANESTHESIA ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRAN KUNA (AUTHORIZED REPRESENTATIVE)
(410) 876-7921
Entity
Organization
Contact information
Practice address
200 MEMORIAL AVE, CARROLL HOSPITAL CENTER ANESTHESIA DEPT, WESTMINSTER, MD 21157-5726
(410) 876-7921
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355561500
—
MD
05
—
355561501
—
MD
Enumeration date
06/10/2006
Last updated
05/05/2021
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