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Individual

MR. KEVIN BRIAN GASIOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1000 BLYTHE BLVD, ANESTHESIA SERVICES - 5TH FLOOR SURGICAL TOWER, CHARLOTTE, NC 28203-5812
(704) 355-8983
Mailing address
PO BOX 32861, ANESTHESIA SERVICES - 5TH FLOOR SURGICAL TOWER, CHARLOTTE, NC 28232-2861
(704) 355-8983

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3419
SC
367500000X
Certified Registered Nurse Anesthetist
RN517086L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001941419
PA
05
8053819
NC
05
AN1633
SC
Enumeration date
02/09/2006
Last updated
01/03/2011
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