Individual
KEVIN P BURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2517 NE KRESKY AVENUE, CHEHALIS, WA 98532-2409
(360) 748-8632
(360) 748-3869
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-1439
(360) 242-3008
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
201394417CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
46909
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60140049
WA
367500000X
Certified Registered Nurse Anesthetist
CRNA-0182
NM
367500000X
Certified Registered Nurse Anesthetist
NUR-RN-LIC-71934
MT
367500000X
Certified Registered Nurse Anesthetist
NURA428
AK
367500000X
Certified Registered Nurse Anesthetist
RN619028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457674640
—
ID
01
—
20004631
MEDICARE ID
ID
05
—
2005970
—
WA
01
—
324226YWN7
MEDICARE NM
NM
05
—
500670615
—
OR
01
—
CRNA082826
NATIONAL CRNA CERTIFICATION
—
01
—
G8923257
MEDICARE WA
WA
01
—
G8926234
MEDICARE WA
WA
01
—
K165387
MEDICARE AK
AK
01
—
M011004119
MEDICARE MT
MT
01
—
R174152
MEDICARE OR
OR
Enumeration date
03/02/2010
Last updated
11/19/2020
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