Organization
KENNETH F DUGGAN CRNA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH FRANCIS DUGGAN CRNA (CRNA)
(580) 924-3813
Entity
Organization
Contact information
Practice address
1800 W UNIVERSITY BLVD, DURANT, OK 74701-3006
(580) 924-3813
(580) 924-0909
Mailing address
PO BOX 5188, DURANT, OK 74702-5188
(580) 924-3813
(580) 924-0909
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0045503
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193400000X
SINGLE SPECIALITY GROUP TAXONOMY CODE
OK
05
—
200109850A
—
OK
01
—
367500000X
TAXONOMY CODE NUMBER
OK
01
—
550564322001
BCBS
OK
01
—
R0045503
LICENSE NUMBER
OK
Enumeration date
12/11/2006
Last updated
07/17/2008
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