Individual
MS. KATHRYN M VONACHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-1811
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(979) 691-3300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041-322526
IL
367500000X
Certified Registered Nurse Anesthetist
142449
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
AP117818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911636900
—
MO
Enumeration date
08/19/2005
Last updated
12/10/2021
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