Individual
KEVIN PAUL WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-2415
Mailing address
110 PINE GROVE COMMONS, YORK, PA 17403-5151
(717) 741-5257
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN357730L
PA
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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