Individual
KENNETH FRANK DAGLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4447
(518) 926-1000
Mailing address
194 HALL HILL RD, LAKE LUZERNE, NY 12846-3509
(518) 744-1404
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
646847
NY
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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