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Individual

KENNETH J KRAUSHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
13611 NORTHUMBERLAND CIR, WELLINGTON, FL 33414-8931
(561) 333-9079
(561) 333-0634
Mailing address
13611 NORTHUMBERLAND CIR, WELLINGTON, FL 33414-8931
(561) 333-9079
(561) 333-0634

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3361762
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300994700
FL
01
G2573
BCBS OF FLORIDA
FL
Enumeration date
08/02/2006
Last updated
08/09/2011
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