Individual
KEVIN MATTHEW TIRADO ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 EDWIN RD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
504 E PETTIGREW ST APT 249, DURHAM, NC 27701-4467
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124099
NC
Other
Enumeration date
09/18/2018
Last updated
10/19/2024
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