Individual
TIMOTHY KEITH KANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
210 CLARK RD, BRISTOL, TN 37620-7400
(423) 967-8764
Mailing address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3473
(252) 384-2610
(252) 338-2505
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
183498
NC
Other
Enumeration date
01/27/2016
Last updated
02/22/2016
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