Individual
KATHRYN HAMILTON DEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9687
(601) 703-9920
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9687
(601) 703-9920
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1-078939
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051519296
BCBS OF AL
AL
05
—
051554345
—
AL
01
—
P00180318
RAILROAD MEDICARE
AL
Enumeration date
03/25/2006
Last updated
01/28/2015
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