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Individual

KEVIN K SPUHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2259 E COLE AVE, FRESNO, CA 93720-3956
(619) 253-1833
Mailing address
2259 E COLE AVE, FRESNO, CA 93720-3956
(619) 253-1833

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
507451
CA
163WC0200X
Critical Care Medicine Registered Nurse
589996
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
3886
CA
367500000X
Certified Registered Nurse Anesthetist
589996
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477889103
BCBS OF TX
TX
05
211568503
TX
01
P01212744
RR MEDICARE
TX
Enumeration date
10/31/2009
Last updated
12/19/2014
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