Individual
PROF. CYNTHIA SUZANNE KETCHMARK GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 HALKET ST, MAGEE-WOMENS HOSPITAL, PITTSBURGH, PA 15213-3108
(412) 641-4260
Mailing address
300 HALKET ST, MAGEE-WOMENS HOSPITAL, PITTSBURGH, PA 15213-3108
(412) 641-4260
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN285074L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001685963
—
PA
Enumeration date
02/14/2006
Last updated
10/13/2020
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