Individual
MRS. BONNIE LOU KOKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15620 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4168
(239) 481-9995
Mailing address
3552 STUART CT, FORT MYERS, FL 33901-7737
(239) 332-5909
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1029722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0364
BC/BS OF FLORIDA
FL
Enumeration date
09/08/2005
Last updated
02/29/2008
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