Organization
KEARNEY ANESTHESIA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D LONG (OFFICE MANAGER)
(308) 236-5506
Entity
Organization
Contact information
Practice address
115 E 52ND ST, KEARNEY, NE 68847-0502
(308) 236-5506
(308) 236-7089
Mailing address
PO BOX 1771, KEARNEY, NE 68848-1771
(308) 236-5506
(308) 236-7089
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03228
RAILROAD MEDICARE
NE
Enumeration date
07/04/2006
Last updated
04/20/2008
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