Individual
MR. KEITH WADE SPRABERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
(304) 637-3435
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
(304) 637-3435
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
66153
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00275442
RAILROAD MEDICARE
WV
Enumeration date
12/27/2005
Last updated
01/08/2008
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