Individual
RONALD KEVIN MOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
231 CONSTITUTION CT, APEX, NC 27523-6749
(919) 454-3864
Mailing address
231 CONSTITUTION CT, APEX, NC 27523-6749
(919) 454-3864
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
164209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430069455
RAILROAD-MEDICARE
NC
05
—
8051524
—
NC
Enumeration date
01/23/2007
Last updated
01/07/2011
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