Individual
KENNITH J DEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2900 LAMB CIR, CHRISTIANSBURG, VA 24073-6344
(540) 731-2802
(540) 731-2230
Mailing address
213 S JEFFERSON ST STE 625, ROANOKE, VA 24011-1713
(540) 224-5516
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0000000000
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168045
VA
Other
Enumeration date
10/15/2008
Last updated
11/09/2020
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