Individual
KATHRYN ROGERS VANDOLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7300 BRYAN DAIRY RD, ANESTHESIA DEPT, LARGO, FL 33777-1534
(727) 451-6780
(770) 237-1124
Mailing address
PO BOX 3978, SEMINOLE, FL 33775-3978
(770) 237-1561
(770) 237-1124
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2122282
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2122282
RN LICENSE #
FL
Enumeration date
03/14/2006
Last updated
01/28/2022
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