Individual
KENT B GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 E WHEELER RD, MOSES LAKE, WA 98837-1820
(509) 765-5606
Mailing address
660 S COOLIDGE ST, MOSES LAKE, WA 98837-1872
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024168059
VA
367500000X
Certified Registered Nurse Anesthetist
101051
MT
367500000X
Certified Registered Nurse Anesthetist
228596
NC
367500000X
Certified Registered Nurse Anesthetist
74249
WV
367500000X
Certified Registered Nurse Anesthetist
745525
CA
367500000X
Certified Registered Nurse Anesthetist
AP117632
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007545
WA
367500000X
Certified Registered Nurse Anesthetist
N-31328
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10008647
—
WA
05
—
1056739
—
WA
Enumeration date
11/07/2007
Last updated
07/09/2025
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