Individual
MR. KENNON DANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R726397
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430071927
RAILROAD MEDICARE
—
01
—
640942692
BLUE CROSS OF MS
—
05
—
KD00016173
—
MS
Enumeration date
02/23/2007
Last updated
09/01/2017
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