Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY BEATTY CRNA (ASSISTANT CHIEF CRNA)
(916) 973-7696
Entity
Organization
Contact information
Practice address
4920 HUNTRIDGE LN, FAIR OAKS, CA 95628-4823
(916) 863-0818
Mailing address
2025 MORSE AVE, ANESTHESIA DEPARTMENT 2ND FLOOR, SACRAMENTO, CA 95825-2115
(916) 973-7696
(916) 973-6354
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2294
CA
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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