Individual
MR. KIM E KRICHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
201 STATE ST, ERIE, PA 16550
(814) 877-2137
(814) 877-7049
Mailing address
PO BOX 6490, ERIE, PA 16512-6490
(814) 480-8732
(814) 456-5524
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
438171
NY
367500000X
Certified Registered Nurse Anesthetist
RN233216L
PA
Other
Enumeration date
07/21/2006
Last updated
07/17/2018
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