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Organization

KMH ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOIS BLAIR CRNA (SOLE PROPRIETOR)
(503) 372-2740
Entity
Organization

Contact information

Practice address
900 S AUBURN ST, KENNEWICK, WA 99336-5621
(509) 586-6111
Mailing address
PO BOX 34940, SEATTLE, WA 98124-1940
(503) 372-2740
(503) 372-2754

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9605247
WA
Enumeration date
12/15/2006
Last updated
11/20/2007
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