Individual
KENNETH GERGELY
Active
Individual
KENNETH GERGELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001-190814
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024-166359
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010100160
—
VA
05
—
010100186
—
VA
05
—
010111331
—
VA
05
—
010111358
—
VA
05
—
010111391
—
VA
Enumeration date
04/21/2006
Last updated
05/06/2008
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