Individual
BENJAMIN ZACHARY KEKOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(571) 364-2336
Mailing address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024186193
VA
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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