Organization
KEYSTONE ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BEAU PERRY CRNA (PRESIDENT/OWNER)
(484) 769-1555
Entity
Organization
Contact information
Practice address
1110 N 35TH AVE, YAKIMA, WA 98902-1622
(610) 750-6388
Mailing address
1085 SIRRON AVE, RICHLAND, WA 99352-7805
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
03/05/2019
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