Individual
MR. KEVIN MICHAEL OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2203 WOODRIDGE PL, GRAND ISLAND, NE 68801-7236
(308) 381-1914
Mailing address
2620 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4205
(308) 381-1914
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100089
NE
Other
Enumeration date
11/01/2006
Last updated
08/19/2020
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