Individual
DR. ANTHONY MWANGI KINYUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 544-6464
Mailing address
2704 HAGGARD DR, SPRINGFIELD, IL 62711-6210
(217) 904-2804
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209031644
IL
Other
Enumeration date
01/11/2025
Last updated
02/14/2025
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