Organization
GOODEARTH ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A KIMBALL CRNA (PARTNER)
(951) 202-0973
Entity
Organization
Contact information
Practice address
234 SOUTH HOLLYWOOD RD, HOUMA, LA 70360
(888) 209-0305
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(952) 442-3644
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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