Individual
MRS. KIMBERLY SHEEHAN GUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-1000
(704) 667-0409
Mailing address
10628 PARK ROAD, CAROLINAS MEDICAL CENTER-PINEVILLE, CHARLOTTE, NC 28210
(704) 667-1971
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
140926
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052781
—
NC
05
—
NAN631
—
SC
Enumeration date
10/05/2006
Last updated
10/07/2008
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