Individual
KEVIN JAMES DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
2805 GLEGHORN ST, WEST PLAINS, MO 65775-1861
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2022022669
MO
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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