Individual
KAY KENNETH DUCHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
208 S KOOTENAI BAY RD, SANDPOINT, ID 83864-8819
(208) 263-7874
Mailing address
208 S KOOTENAI BAY RD, SANDPOINT, ID 83864-8819
(208) 263-7874
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-16
ID
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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