Individual
KATIE KEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17822 LILLIAN ST, OMAHA, NE 68136-2096
(928) 303-5225
Mailing address
1850 N CENTRAL AVE, STE 1600, PHOENIX, AZ 85004-4633
(602) 262-8900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
76944
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1496
AZ
Other
Enumeration date
12/01/2017
Last updated
09/22/2020
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