Individual
KEVIN S CHADBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(800) 880-3566
(801) 432-2670
Mailing address
406 S 30TH AVE, STE 202, YAKIMA, WA 98902-3713
(509) 972-1051
(509) 972-4166
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
70000525-8901
UT
367500000X
Certified Registered Nurse Anesthetist
9303569
FL
367500000X
Certified Registered Nurse Anesthetist
AP60506972
WA
Other
Enumeration date
06/18/2014
Last updated
04/12/2023
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