Individual
MR. BRYAN KEITH DEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE ANESTHETIST
Contact information
Practice address
2607 SAINT ANNE WAY, DAYTON, OH 45458-3895
(619) 384-9013
Mailing address
3050 TRAIL CREST LN, LINDENHURST, IL 60046-4999
(619) 384-9013
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
667489
CA
367500000X
Certified Registered Nurse Anesthetist
178376-030
WI
367500000X
Certified Registered Nurse Anesthetist
209.008888
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.019935
OH
Other
Enumeration date
02/01/2007
Last updated
09/11/2019
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