Individual
KJELL O KRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
520 W 1ST ST, NEW ALBANY, IN 47150-3603
(812) 949-3442
(812) 949-3441
Mailing address
520 W 1ST ST, NEW ALBANY, IN 47150-3603
(812) 949-3442
(812) 949-3441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
501A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000039503
IN BCBS
IN
05
—
74050113
—
KY
Enumeration date
02/03/2006
Last updated
04/04/2008
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