Individual
KERMIT COX
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
SPARTA COMMUNITY HOSPITAL, 818 EAST BROADWAY, SPARTA, IL 62286
(618) 443-2177
Mailing address
100 E LEFEVRE RD, STERLING, IL 61081-1278
(618) 443-2177
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041147219
IL
Other
Enumeration date
05/01/2006
Last updated
12/05/2017
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