Individual
KIRK FIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1050 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-7778
(740) 375-8118
Mailing address
1050 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-7778
(740) 375-8118
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.06849-NA
OH
367500000X
Certified Registered Nurse Anesthetist
NA06849
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2299187
—
OH
Enumeration date
06/18/2006
Last updated
12/15/2021
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