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Organization

KRISTINE SMITH ANESTHESIA SERVICES, PC

Active
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Organization

KRISTINE SMITH ANESTHESIA SERVICES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KRISTINE C SMITH CRNA (OWNER)
(317) 567-2180
Entity
Organization

Contact information

Practice address
9002 N MERIDIAN ST, INDIANAPOLIS, IN 46260-5381
(317) 567-2180
(317) 567-2191
Mailing address
PO BOX 3054, INDIANAPOLIS, IN 46206-3054
(317) 567-2180
(317) 567-2191

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55000059A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200901560A
IN
Enumeration date
03/12/2008
Last updated
01/08/2010
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