Individual
KEVIN C CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R17494
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12659
—
ND
01
—
142325
UCARE #
ND
01
—
2000743
MEDICA FGO #
ND
01
—
2000744
MEDICA INNOVIS #
ND
01
—
26286
NDBS #
ND
01
—
50228CA
MNBS #
ND
05
—
817743100
—
ND
01
—
967144
ARAZ #
ND
01
—
DA9011015518
PREF 1 #
ND
01
—
HP38622
HEALTHPARTNERS #
ND
Enumeration date
06/06/2006
Last updated
05/11/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us