Individual
DEBRA L KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12 VILLA EST, CHARLESTON, WV 25311-9760
(304) 549-1238
Mailing address
12 VILLA EST, CHARLESTON, WV 25311-9760
(304) 549-1238
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
48426
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200409000
—
WV
Enumeration date
06/14/2006
Last updated
02/24/2015
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