Individual
KEVIN GARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 ALLEN MEMORIAL DR, BREMEN, GA 30110-2012
(770) 824-2275
(770) 824-2275
Mailing address
PO BOX 277368, ATLANTA, GA 30384-7368
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-049632
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-48255
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/10/2006
Last updated
02/03/2009
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