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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