Individual
KEVIN C BUSHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
1420 LONDON RD, SUITE 100, DULUTH, MN 55805-2433
(218) 728-8508
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8319
(218) 786-2891
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
412
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
557453600
—
MN
Enumeration date
05/26/2006
Last updated
02/13/2024
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