Individual
MR. KEVIN JAMES COOLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 473-0055
Mailing address
644 CORBY GLEN AVE, CHESAPEAKE, VA 23322-1005
(757) 390-6294
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024164868
VA
Other
Enumeration date
08/01/2005
Last updated
10/29/2012
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