Individual
MR. KIM ALAN PEARSON
Active
Individual
MR. KIM ALAN PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE ANESTHETIST
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D061933
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122051
—
IA
01
—
50829
WELLMARK BCBS
—
01
—
IA0102
JOHN DEERE
—
Enumeration date
08/01/2006
Last updated
07/08/2007
Update your record
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