Individual
STEPHEN R KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
450 MOUNTAIN VIEW ST, POWELL, WY 82435-2212
(307) 754-2267
(307) 754-7731
Mailing address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-2267
(307) 754-7731
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
18607-0366
WY
367500000X
Certified Registered Nurse Anesthetist
18607.366
WY
367500000X
Certified Registered Nurse Anesthetist
4423A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000346417
BCBS
KY
05
—
74008798
—
KY
Enumeration date
05/20/2006
Last updated
03/17/2018
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