Individual
GERALDINE E KIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
715 N WEBER ST, SUITE 100, COLORADO SPRINGS, CO 80903-1091
(719) 473-6115
Mailing address
2679 GLEN ARBOR DR, COLORADO SPRINGS, CO 80920-1464
(719) 331-7318
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123496
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34658572
—
CO
Enumeration date
01/10/2007
Last updated
07/05/2013
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