Individual
KATHLEEN SNYDER
Active
Individual
KATHLEEN SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28101225
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200069740
—
IN
01
—
IN1459
MEDICARE GROUP PTAN
IN
Enumeration date
05/16/2006
Last updated
10/08/2013
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