Organization
AERO ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN CRAWFORD CRNA (PARTNER)
(615) 620-2320
Entity
Organization
Contact information
Practice address
401 SEWELL DR, SPARTA, TN 38583-1223
(931) 738-9211
Mailing address
PO BOX 440167, NASHVILLE, TN 37244-0167
(615) 620-2320
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3630936
—
TN
01
—
4027798
BLUE CROSS/BLUE SHIELD OF TN
TN
01
—
CJ8252
RR MEDICARE
TN
Enumeration date
10/20/2006
Last updated
06/15/2010
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