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Individual

KATY RAE FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
804 22ND AVE, KEARNEY, NE 68845-2206
(308) 224-2062
(888) 974-5962
Mailing address
PO BOX 99, KEARNEY, NE 68848-0099
(308) 224-2062
(888) 974-5962

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101227
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101227
CRNA
NE
01
67351
RN
NE
Enumeration date
06/04/2013
Last updated
02/25/2019
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