Individual
PATRICK AARON DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
804 22ND AVE, KEARNEY, NE 68845-2206
(308) 455-3600
(888) 974-5962
Mailing address
6420 56TH AVE, KEARNEY, NE 68845-0380
(308) 224-2062
(888) 974-5962
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101193
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026427500
—
NE
Enumeration date
05/29/2012
Last updated
12/08/2014
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